Provider Demographics
NPI:1710007810
Name:MUNOZ, VICTORIA INES (RN,MSN,ANP,FNPC)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:INES
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:RN,MSN,ANP,FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1595
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-8095
Mailing Address - Country:US
Mailing Address - Phone:551-556-4274
Mailing Address - Fax:
Practice Address - Street 1:100 CHARLES EWING BLVD
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08628-3454
Practice Address - Country:US
Practice Address - Phone:551-556-4274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00075600363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily