Healthcare Provider Details

I. General information

NPI: 1265355952
Provider Name (Legal Business Name): ZUNUNCITO INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4341 COUNTY ROAD 113
CARBONDALE CO
81623-8885
US

IV. Provider business mailing address

4341 COUNTY ROAD 113
CARBONDALE CO
81623-8885
US

V. Phone/Fax

Practice location:
  • Phone: 970-274-0725
  • Fax:
Mailing address:
  • Phone: 970-510-0505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: MYRNA FAYE HUMPHREY
Title or Position: FUNCTIONAL NUTRITION COACH
Credential: CFNC
Phone: 970-274-0725