Healthcare Provider Details

I. General information

NPI: 1184408155
Provider Name (Legal Business Name): YESENIA N NUNEZ MSN APRN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2023
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 W CORK ST STE 100
WINCHESTER VA
22601-3870
US

IV. Provider business mailing address

220 CAMPUS BLVD STE 320
WINCHESTER VA
22601-2889
US

V. Phone/Fax

Practice location:
  • Phone: 540-536-0518
  • Fax: 540-536-0249
Mailing address:
  • Phone: 540-536-5100
  • Fax: 540-536-0235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024187001
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: