Healthcare Provider Details

I. General information

NPI: 1366064883
Provider Name (Legal Business Name): YUNA MANIKA MUYINDA APRN - FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2020
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2815 S HAMPTON RD
DALLAS TX
75224-2329
US

IV. Provider business mailing address

12377 MERIT DR STE 300
DALLAS TX
75251-3126
US

V. Phone/Fax

Practice location:
  • Phone: 214-330-0137
  • Fax: 214-333-7343
Mailing address:
  • Phone: 972-957-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0500X
TaxonomyHemodialysis Registered Nurse
License Number923400
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1099690
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1099690
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: