Provider Demographics
NPI:1598371189
Name:NHIM, STEPHANIE MUNOZ (RN, BSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:MUNOZ
Last Name:NHIM
Suffix:
Gender:F
Credentials:RN, BSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5105 CHAMBERS DR
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60010-5607
Mailing Address - Country:US
Mailing Address - Phone:224-238-9117
Mailing Address - Fax:
Practice Address - Street 1:5105 CHAMBERS DR
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60010-5607
Practice Address - Country:US
Practice Address - Phone:224-238-9117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-18
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041430477163W00000X
IL209021850363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse