Provider Demographics
NPI:1306323118
Name:MUN, YVONNE (DNP, NP-C)
Entity type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:
Last Name:MUN
Suffix:
Gender:F
Credentials:DNP, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10630 MOUNTAIN VIEW AVE APT B
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-8430
Mailing Address - Country:US
Mailing Address - Phone:808-393-6863
Mailing Address - Fax:
Practice Address - Street 1:1420 RIVER PARK DR STE 120
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4506
Practice Address - Country:US
Practice Address - Phone:888-558-4747
Practice Address - Fax:916-404-5556
Is Sole Proprietor?:No
Enumeration Date:2018-07-24
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2490363L00000X
CA95022980363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner