Individual
ANASTASIA MUKAMUSONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11210 W MINNEZONA AVE, PHOENIX, AZ 85037-5127
(623) 999-3099
Mailing address
11210 W MINNEZONA AVE, PHOENIX, AZ 85037-5127
(623) 999-3099
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP9564
AZ
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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