NPI | 1275171860 |
---|---|
Professional Name | SHAWNTAE N MUNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002730) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11002730) |
Enumeration Date | 2019-12-15 |
Last Update Date | 2024-05-24 |