Healthcare Provider Details

I. General information

NPI: 1326957796
Provider Name (Legal Business Name): ANGELINA NUNO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 COMMERCE WAY
SOUTH SIOUX CITY NE
68776
US

IV. Provider business mailing address

1900 HICKORY ST LOT 21
DAKOTA CITY NE
68731-4070
US

V. Phone/Fax

Practice location:
  • Phone: 402-494-9171
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: