Provider Demographics
NPI:1558698902
Name:FRANCIS-MUNSON, CHARITY (FNP)
Entity Type:Individual
Prefix:MS
First Name:CHARITY
Middle Name:
Last Name:FRANCIS-MUNSON
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 1:9728 3RD AVE
Mailing Address - Street 2:#520
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-7742
Mailing Address - Country:US
Mailing Address - Phone:718-233-2669
Mailing Address - Fax:
Practice Address - Street 1:9613 FLATLANDS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3711
Practice Address - Country:US
Practice Address - Phone:718-927-1355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-05
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF334179-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily