Individual
LOUANN MUNDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
511 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 341-0511
(304) 341-0197
Mailing address
2055 SMITH RD, CHARLESTON, WV 25314-2106
(304) 344-3298
(304) 346-4349
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
257008-22
WV
363L00000X
Nurse Practitioner
Primary
F0796189
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7102249-000
—
WV
Enumeration date
10/05/2006
Last updated
07/09/2007
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