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Contact Information

EMANITA C MOUNGA, FNP-C
4133 W. PIONEER PARKWAY
STE 100
WEST VALLEY CITY, UT84120
 Phone: 801-250-9638
 Fax: 801-250-3204
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for EMANITA C MOUNGA · (Female)

NPI # 1306322441
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 07/12/2018
Last updated 12/21/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 9131166-4405
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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