Individual
ANASTASIA MUNCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 MEDICAL VILLAGE DR, SUITE 258, EDGEWOOD, KY 41017-5401
(859) 341-7246
Mailing address
20 MEDICAL VILLAGE DR, SUITE 258, EDGEWOOD, KY 41017-5401
(859) 341-7246
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1112631
KY
367500000X
Certified Registered Nurse Anesthetist
28248130A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000747638
ANTHEM BS
—
05
—
0061651
—
OH
05
—
7100190520
—
KY
Enumeration date
11/28/2011
Last updated
01/14/2019
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