Individual
MS. ANTOINETTE RENE NUNNELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4001 CEDAR ELM LN STE B, WICHITA FALLS, TX 76308-3031
(940) 386-9334
(940) 386-9733
Mailing address
4001 CEDAR ELM LN STE B, WICHITA FALLS, TX 76308-3031
(940) 386-9334
(940) 386-9733
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
541470
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144490302
—
TX
05
—
144490304
—
TX
Enumeration date
12/28/2005
Last updated
11/06/2014
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