Individual provider · Type 1 NPI
Emanita Christable Mounga, FNP-C
Family Nurse Practitioner · West Valley, UT
NPI number
1306322441
Active
Practice location
4133 W. Pioneer Parkway, Ste 100
West Valley, UT 84120
Fax (801) 250-3204
Mailing address
13473 S Fireback Dr
Riverton, UT 84065-4504
Other practice locations
- 3665 S 8400 W, Magna, UT 84044-4907 · (801) 250-9638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 9131166-4405 (UT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1306322441
Emanita Christable Mounga, FNP-C's National Provider Identifier is 1306322441, issued on Jul 12, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Valley, UT. The record was last updated on Dec 21, 2021.