Individual
MUNA H VONDERHEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
432 16TH ST, ASHLAND, KY 41101-7693
(606) 324-0128
(606) 326-1372
Mailing address
PO BOX 550, VANCEBURG, VANCEBURG, KY 41179-0550
(606) 796-3029
(606) 796-6221
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3006656
KY
363LW0102X
Women's Health Nurse Practitioner
Primary
3006656
KY
363LW0102X
Women's Health Nurse Practitioner
79871
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100228750
—
KY
Enumeration date
08/01/2011
Last updated
04/29/2020
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