Individual
JOSHUA MICHAEL MUNDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1801 DIVISADERO ST, SAN FRANCISCO, CA 94115-2516
(415) 965-7944
(415) 965-7933
Mailing address
3400 DATA DR, ATTN CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95152418
CA
Other
Enumeration date
02/03/2016
Last updated
07/21/2022
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