| Doctor Name: | MRS. MARY SENGER MUNROE |
| NPI Number: | 1225475338 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN MSN CPNP |
| License Number: | 0024109937 |
| Business Practice Address: | 4816 Clubview Ct Fuquay Varina, NC - 275268681 |
| Business Phone Number: | 9104702253 |
| Business Fax Number: | 9195673359 |
| Mailing Address: | 4816 Clubview Ct, FUQUAY VARINA |
| State: | NC |
| Postal Code: | 275268681 |
| Phone Number: | 9104702253 |
| Fax Number: | 9195673359 |
| NPI Enumeration Date: | 05/30/2013 |
| NPI Last Update Date: | 05/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | 0024109937 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |