Provider Demographics
NPI:1861621401
Name:CUNANAN, ANA MAY MARTIN
Entity type:Individual
Prefix:
First Name:ANA MAY
Middle Name:MARTIN
Last Name:CUNANAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANA MAY
Other - Middle Name:MAY MARTIN
Other - Last Name:CUNANAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:270 PADDLEWHEEL DR
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-7238
Mailing Address - Country:US
Mailing Address - Phone:310-782-4845
Mailing Address - Fax:
Practice Address - Street 1:270 PADDLEWHEEL DR
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-7238
Practice Address - Country:US
Practice Address - Phone:310-782-4845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA693103163W00000X
NJ26NR12587300163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse