Individual
ELIZABETH COURTNY MUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
296 BOLTON DR APT C, BALLWIN, MO 63011-5005
(618) 444-5050
Mailing address
296 BOLTON DR APT C, BALLWIN, MO 63011-5005
(618) 444-5050
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
2011014690
MO
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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