Provider Demographics
NPI:1841764438
Name:MUNIZ, NAYOMY (MSN, ARNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:NAYOMY
Middle Name:
Last Name:MUNIZ
Suffix:
Gender:F
Credentials:MSN, ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10422 HUEBNER RD APT 3013
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1394
Mailing Address - Country:US
Mailing Address - Phone:786-512-5114
Mailing Address - Fax:
Practice Address - Street 1:10422 HUEBNER RD APT 3013
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1394
Practice Address - Country:US
Practice Address - Phone:786-512-5114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-16
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140337363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX398618401Medicaid