Healthcare Provider Details

I. General information

NPI: 1073640066
Provider Name (Legal Business Name): KAREN E. NUNEZ CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 08/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 YALE BLVD SE
ALBUQUERQUE NM
87106-4217
US

IV. Provider business mailing address

2600 YALE BLVD SE
ALBUQUERQUE NM
87106-4217
US

V. Phone/Fax

Practice location:
  • Phone: 505-994-7954
  • Fax:
Mailing address:
  • Phone: 505-994-7954
  • Fax: 505-243-0366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR57184
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: