Individual
MR. NOEL NUNEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
16350 VENTURA BLVD UNIT 309, ENCINO, CA 91436-5307
(747) 998-5462
Mailing address
16350 VENTURA BLVD UNIT 309, ENCINO, CA 91436-5307
(747) 998-5462
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95004537
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95004537
STATE BOARD OF CALIFORNIA
CA
Enumeration date
07/21/2016
Last updated
07/21/2016
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