Doctor Name: | MRS. MONDY MOLINE |
NPI Number: | 1306277603 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | ARNP 9286261 |
Business Practice Address: | 1500 N Dixie Hwy West Palm Bch, FL - 334012712 |
Business Phone Number: | 5613510308 |
Business Fax Number: | |
Mailing Address: | 6326 Harbour Oak Dr, LAKE WORTH |
State: | FL |
Postal Code: | 334676840 |
Phone Number: | 5618097908 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2013 |
NPI Last Update Date: | 12/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP 9286261 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |