Provider Demographics
NPI:1396411096
Name:MUNNS, ERIKA (NP)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:MUNNS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:
Other - Last Name:COMBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5455 S 600 W
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84405-6778
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3350 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84405-1563
Practice Address - Country:US
Practice Address - Phone:801-625-9330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-22
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8287204-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily