Provider Demographics
NPI:1235933920
Name:NUNEZ, PAIGE (MS, CNS)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:NUNEZ
Suffix:
Gender:
Credentials:MS, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6928 S COLUMBINE RD
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-7034
Mailing Address - Country:US
Mailing Address - Phone:317-796-8926
Mailing Address - Fax:
Practice Address - Street 1:5218 GALENA AVE
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-8558
Practice Address - Country:US
Practice Address - Phone:720-523-8231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist