Provider Demographics
NPI:1053143263
Name:NUNEZ, LEYDA MARLINA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:LEYDA
Middle Name:MARLINA
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13003 GORDONS MOTT
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-5753
Mailing Address - Country:US
Mailing Address - Phone:210-723-0711
Mailing Address - Fax:
Practice Address - Street 1:13003 GORDONS MOTT
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-5753
Practice Address - Country:US
Practice Address - Phone:210-723-0711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF08240157363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily