Muckala, Toni Denise

Muckala, Toni Denise is an individual health care provider with primary practice located at 6739 W Cactus Rd , Peoria AZ 85381-5311. She recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Muckala, Toni Denise can be contacted via phone (833) 242-0100.

Contact Information

Primary practice address
6739 W Cactus Rd Peoria AZ 85381-5311
Phone: (833) 242-0100
Fax: (623) 889-0814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 118389 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9530 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5698 Arizona

Profile Details

NPI number 1124008016
LBN Legal business name Muckala, Toni Denise
Credentials PA-C, PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Oct 10th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124008016 NPPES
Minnesota MEDICAID 388528300
Minnesota Other 9530
Minnesota Other 5698

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