MEDICARE: DR. MEGAN ANN MUNSON DNP, MSN-ED, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	163930	AZ
2	363LF0000X	Family Nurse Practitioner	AP11344	AZ

General Provider Information

NPI Number	:	1295225241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGAN ANN MUNSON DNP, MSN-ED, FNP-C

Provider Business Mailing Address
First Line	:	1323 W PRINCE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-3114
Country	:	US
Telephone Number	:
Fax Number	:	520-887-1393

Provider Business Practice Location Address
First Line	:	1323 W PRINCE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705
Country	:	US
Telephone Number	:	520-887-0800
Fax Number	:	520-887-1393

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2018
Last Update Date	:	06/04/2018

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