Individual
ALICIA E. NUNN-ELAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPW
Contact information
Practice address
806 WATER ST, BASTROP, TX 78602-3832
(512) 409-3116
Mailing address
806 WATER ST, BASTROP, TX 78602-3832
(512) 409-3116
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
16142
TX
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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