Provider Demographics
NPI:1699302612
Name:MUNOZ, CECILIA ARACELI (NP)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:ARACELI
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4347
Mailing Address - Street 2:
Mailing Address - City:ARIZONA CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85123-2667
Mailing Address - Country:US
Mailing Address - Phone:520-208-5552
Mailing Address - Fax:
Practice Address - Street 1:13100 S SUNLAND GIN RD STE 3
Practice Address - Street 2:
Practice Address - City:ARIZONA CITY
Practice Address - State:AZ
Practice Address - Zip Code:85123-8659
Practice Address - Country:US
Practice Address - Phone:520-719-0900
Practice Address - Fax:833-941-2431
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-27
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ239848363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ85-0619653OtherIRS