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Individual

MALINDA KAYE MUNSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
6650 CUMBERLAND GAP PKWY, HARROGATE, TN 37752-8012
(423) 441-8011
(423) 441-8014
Mailing address
PO BOX 1853, NEW TAZEWELL, TN 37824-1853
(865) 585-4923

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
29762
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100818950
KY
05
Q072735
TN
Enumeration date
07/05/2021
Last updated
11/15/2022
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