Provider Demographics
NPI:1952883787
Name:NJUNGE, EMILY NUNGARI
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:NUNGARI
Last Name:NJUNGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15231 PRESTON RD APT 2039
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-4806
Mailing Address - Country:US
Mailing Address - Phone:214-809-4389
Mailing Address - Fax:
Practice Address - Street 1:15231 PRESTON RD APT 2039
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-4806
Practice Address - Country:US
Practice Address - Phone:214-809-4389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX329132164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse