Individual
ALICE G MUKUNJURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Contact information
Practice address
1431 OPUS PL STE 110, DOWNERS GROVE, IL 60515-1164
(888) 279-0002
Mailing address
2456 HART DR SW, ROCHESTER, MN 55902-1564
(507) 319-0291
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12459
MN
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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