Provider Demographics
NPI:1780650671
Name:MUNAJJ, JOSEFINA PATRICIA (ARNPCNM)
Entity Type:Individual
Prefix:MS
First Name:JOSEFINA
Middle Name:PATRICIA
Last Name:MUNAJJ
Suffix:
Gender:F
Credentials:ARNPCNM
Other - Prefix:MS
Other - First Name:JOSEFINA
Other - Middle Name:PATRICIA
Other - Last Name:ALRAHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:3416 BAHAMA DR
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-5923
Mailing Address - Country:US
Mailing Address - Phone:954-962-7446
Mailing Address - Fax:954-272-6012
Practice Address - Street 1:3939 HOLLYWOOD BLVD
Practice Address - Street 2:SUITE 3B
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6749
Practice Address - Country:US
Practice Address - Phone:954-237-6409
Practice Address - Fax:954-272-6012
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 2589502363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS50213Medicare UPIN