Individual
LISA MARIE MUNN
Active
Individual
LISA MARIE MUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
779623
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP118594
TX
363LA2200X
Adult Health Nurse Practitioner
APN0000008306
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
621792869
TAX IDENTIFICATION #
TN
Enumeration date
01/18/2008
Last updated
08/28/2019
Update your record
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