Individual
MATTHEW MUNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
13921 N MERIDIAN AVE STE 100, OKLAHOMA CITY, OK 73134-1106
(405) 752-9600
(405) 752-9650
Mailing address
3330 NW 56TH ST, SUITE 612, OKLAHOMA CITY, OK 73112-4479
(405) 601-8810
(877) 795-8060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0106050
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200701860A
—
OK
Enumeration date
07/07/2015
Last updated
04/26/2022
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