Provider Demographics
NPI:1851168124
Name:MUNOZ, EMILY FRANCES (NP)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:FRANCES
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:FRANCES
Other - Last Name:MESSINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:325 STRATFORD RD
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1845
Mailing Address - Country:US
Mailing Address - Phone:410-371-5895
Mailing Address - Fax:
Practice Address - Street 1:301 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-5803
Practice Address - Country:US
Practice Address - Phone:410-371-5895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-07
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR208478363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner