Doctor Name: | LISA FRANKIE MUNCY |
NPI Number: | 1063890085 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 3009363 |
Business Practice Address: | 850 Riverview Ave Pineville, KY - 409771452 |
Business Phone Number: | 6063376047 |
Business Fax Number: | 6063370925 |
Mailing Address: | 850 Riverview Ave, PINEVILLE |
State: | KY |
Postal Code: | 409771452 |
Phone Number: | 6063376047 |
Fax Number: | 6063370925 |
NPI Enumeration Date: | 05/11/2015 |
NPI Last Update Date: | 08/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3009363 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |