Individual
JOSE LUIS NUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1112 VERGES AVE, NORFOLK, NE 68701-3853
(402) 315-7538
Mailing address
1112 VERGES AVE, NORFOLK, NE 68701-3853
(402) 379-8727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2212
NE
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
01/19/2018
Last updated
09/11/2019
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