Provider Demographics
NPI:1912570565
Name:NUNEZ, SABRINA ANISSA (LPN)
Entity Type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:ANISSA
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 MARC ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-7443
Mailing Address - Country:US
Mailing Address - Phone:347-324-6967
Mailing Address - Fax:718-982-8390
Practice Address - Street 1:21 MARC ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-7443
Practice Address - Country:US
Practice Address - Phone:347-324-6967
Practice Address - Fax:718-982-8390
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program