Sandra Muniz, LPN
Individual provider Active NPI Licensed Practical Nurse · Eielson Afb, AK
NPI 1639724636 · NPPES record last updated Aug 6, 2019
Key facts
- NPI
- 1639724636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 140504 (AK)
- Practice address
- 2630 Central Ave
Eielson Afb, AK 99702-2301 - Phone
- (907) 377-6526
- NPI assigned
- Aug 6, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140504 | AK | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 140504 | AK | Yes |
Addresses
Primary practice location
2630 Central Ave
Eielson Afb, AK 99702-2301
Mailing address
2685 Bald Eagle CT
North Pole, AK 99705-7893
Other providers in Eielson Afb, AK
- Eric Dylan Mason
- Karen L Medbury
- Landru Derek Medvec
- Jacob A Mock
- Nicholas R Moorehead
- Amanda Nichols
- Eric Noll
- John Joseph Olshefski
- Robert Greg Patterson
- Natalie Elaine Peter
All providers in Eielson Afb, AK · Licensed Practical Nurse in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.