| Doctor Name: | ASHLEY BROOKE MUNN |
| NPI Number: | 1003243858 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 3008353 |
| Business Practice Address: | 65 Glenndale Rd Suite 1 Manchester, KY - 409626212 |
| Business Phone Number: | 6065992508 |
| Business Fax Number: | 6065992507 |
| Mailing Address: | 509 Memorial Dr, Suite 2 MANCHESTER |
| State: | KY |
| Postal Code: | 409626195 |
| Phone Number: | 6065985104 |
| Fax Number: | 6065980983 |
| NPI Enumeration Date: | 10/10/2013 |
| NPI Last Update Date: | 10/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3008353 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |