Healthcare Provider Details

I. General information

NPI: 1093907586
Provider Name (Legal Business Name): ANDRES NUNEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2007
Last Update Date: 10/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 1ST ST NE 9TH FLOOR
WASHINGTON DC
20002-3361
US

IV. Provider business mailing address

2809 BATTERY PL NW
WASHINGTON DC
20016-3439
US

V. Phone/Fax

Practice location:
  • Phone: 202-442-4487
  • Fax:
Mailing address:
  • Phone: 530-219-7096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: