Mundy, Courtney Marie

Mundy, Courtney Marie is an individual health care provider with primary practice located at 1510 W Yakima Ave , Yakima WA 98902-2951. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Mundy, Courtney Marie can be contacted via phone (509) 367-7158.

Contact Information

Primary practice address
1510 W Yakima Ave Yakima WA 98902-2951
Phone: (509) 367-7158
Fax: (509) 453-1400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP61230453 Washington

Profile Details

NPI number 1669144424
LBN Legal business name Mundy, Courtney Marie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2021
Last updated Jun 1st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669144424 NPPES
Washington MEDICAID 2206779

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