Provider Demographics
NPI:1922482033
Name:MUNLEY, PAUL RYAN (RN)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:RYAN
Last Name:MUNLEY
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 W PALO VERDE ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-5709
Mailing Address - Country:US
Mailing Address - Phone:602-316-2525
Mailing Address - Fax:
Practice Address - Street 1:814 W PALO VERDE ST
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-5709
Practice Address - Country:US
Practice Address - Phone:602-316-2525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-17
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN192785163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse