Individual
TIFFANY ANNE MUNDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, ACNP-BC
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
679101
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP117718
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344545401
—
TX
Enumeration date
10/09/2009
Last updated
06/22/2015
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