Individual
MARIO P NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5097
CT
363LA2100X
Acute Care Nurse Practitioner
5097
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700134384
—
CT
Enumeration date
08/29/2012
Last updated
04/17/2015
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