Healthcare Provider Details

I. General information

NPI: 1376480830
Provider Name (Legal Business Name): COURTNEY ANNA MUHONEN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S STEVENS ST
CHEWELAH WA
99109-9367
US

IV. Provider business mailing address

301 S STEVENS ST
CHEWELAH WA
99109-9367
US

V. Phone/Fax

Practice location:
  • Phone: 360-631-9253
  • Fax:
Mailing address:
  • Phone: 360-631-9253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN60376313
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: