Provider Demographics
NPI:1710677166
Name:MUNOZ, YVONNE (APRN)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6235 MAIN ST APT 4041
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-3438
Mailing Address - Country:US
Mailing Address - Phone:915-227-3889
Mailing Address - Fax:
Practice Address - Street 1:6235 MAIN ST APT 4041
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-3438
Practice Address - Country:US
Practice Address - Phone:915-227-3889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1114275363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health