Provider Demographics
NPI:1982444683
Name:TUN, NAW ZEZAWAR (RN)
Entity type:Individual
Prefix:
First Name:NAW
Middle Name:ZEZAWAR
Last Name:TUN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8559 ETHANS GLEN TER
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-9068
Mailing Address - Country:US
Mailing Address - Phone:904-662-2473
Mailing Address - Fax:
Practice Address - Street 1:8559 ETHANS GLEN TER
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-9068
Practice Address - Country:US
Practice Address - Phone:904-662-2473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9616435163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency