Provider Demographics
NPI:1356095350
Name:MUNOZ, JULIETTE VALERIE (FNP)
Entity Type:Individual
Prefix:
First Name:JULIETTE
Middle Name:VALERIE
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 N JOSEY LN STE 110
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4681
Mailing Address - Country:US
Mailing Address - Phone:144-833-2922
Mailing Address - Fax:
Practice Address - Street 1:4300 N JOSEY LN STE 110
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4681
Practice Address - Country:US
Practice Address - Phone:214-483-3292
Practice Address - Fax:214-483-3286
Is Sole Proprietor?:No
Enumeration Date:2022-02-08
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1059000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily