Provider Demographics
NPI:1619304805
Name:MUNOS, MONICA YVETTE (MSN ACNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:YVETTE
Last Name:MUNOS
Suffix:
Gender:F
Credentials:MSN ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 N 3RD ST
Mailing Address - Street 2:SUITE 3045
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-1129
Mailing Address - Country:US
Mailing Address - Phone:602-374-7522
Mailing Address - Fax:
Practice Address - Street 1:2700 N 3RD ST
Practice Address - Street 2:SUITE 3045
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1129
Practice Address - Country:US
Practice Address - Phone:602-374-7522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP5228363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care