Provider Demographics
NPI:1154197028
Name:MUNYU, STELLA NDANU (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:STELLA
Middle Name:NDANU
Last Name:MUNYU
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1218 NE 15TH LN
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-6562
Mailing Address - Country:US
Mailing Address - Phone:612-406-7222
Mailing Address - Fax:
Practice Address - Street 1:1218 NE 15TH LN
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-6562
Practice Address - Country:US
Practice Address - Phone:612-406-7222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA164393163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse