MEDICARE: ANDRES NUNEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker
2	103TS0200X	School Psychologist

General Provider Information

NPI Number	:	1093907586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDRES NUNEZ

Provider Business Mailing Address
First Line	:	2809 BATTERY PL NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-3439
Country	:	US
Telephone Number	:	530-219-7096
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 1ST ST NE
Second Line	:	9TH FLOOR
City	:	WASHINGTON
State	:	DC
Zip	:	20002-3361
Country	:	US
Telephone Number	:	202-442-4487
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2007
Last Update Date	:	10/30/2013

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Directions to “ ANDRES NUNEZ ” Practice Location

Language	Start Address	Practice Location

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