ANASTASIA MUKAMUSONI


Address: 11210 W Minnezona Ave, Phoenix, AZ 85037-5127
Phone: 6239993099

ANASTASIA MUKAMUSONI (NPI# 1568906626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568906626
Entity Type Individual
Full Name ANASTASIA MUKAMUSONI
Practice Address 11210 W Minnezona Ave
Phoenix
AZ 85037-5127
Practice Telephone 6239993099
Mailing Telephone 6239993099
Enumeration Date 2016-12-08
Last Update Date 2016-12-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP9564 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 11210 W MINNEZONA AVE
City PHOENIX
State AZ
Zip Code 85037-5127

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City PHOENIX
Zip Code 85037

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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