Provider Demographics
NPI:1437214129
Name:MUNN, HELEN ELIZABETH (ARNP)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:ELIZABETH
Last Name:MUNN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:H
Other - Middle Name:ELIZABETH
Other - Last Name:MUNN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:290 CHIPPEWA TRAIL FI
Mailing Address - Street 2:
Mailing Address - City:FOX ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98333-9730
Mailing Address - Country:US
Mailing Address - Phone:253-229-4267
Mailing Address - Fax:253-620-5112
Practice Address - Street 1:4700 POINT FOSDICK DR NW
Practice Address - Street 2:STE 302
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1706
Practice Address - Country:US
Practice Address - Phone:253-851-3808
Practice Address - Fax:253-851-3188
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30004403363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9622309Medicaid
AP04205Medicare ID - Type Unspecified
S55847Medicare UPIN