Healthcare Provider Details

I. General information

NPI: 1376805846
Provider Name (Legal Business Name): CLAUDIA YANET NUNEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2012
Last Update Date: 02/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 RANCHO LN #25
LAS VEGAS NV
89106-3827
US

IV. Provider business mailing address

820 RANCHO LN #25
LAS VEGAS NV
89106-3806
US

V. Phone/Fax

Practice location:
  • Phone: 702-822-2655
  • Fax: 702-822-2666
Mailing address:
  • Phone: 702-822-2655
  • Fax: 702-822-2666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: