Healthcare Provider Details

I. General information

NPI: 1679908776
Provider Name (Legal Business Name): MUNESU CHINHENZVA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2013
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 ELGAR PL APT 21H
BRONX NY
10475-5121
US

IV. Provider business mailing address

120 ELGAR PL APT 21H
BRONX NY
10475-5121
US

V. Phone/Fax

Practice location:
  • Phone: 347-275-8098
  • Fax: 347-275-8098
Mailing address:
  • Phone: 631-457-3613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberN53499
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number302509
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: