PAULINE SARA MONDRAGON APRN-CNP NPI 1740943505

NPI Information

NPI: 1740943505
Provider Name: PAULINE SARA MONDRAGON, APRN-CNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: ST. VINCENT HOSPITAL

PECOS Registration: Yes

Address:
12 CERRADO RD
SANTA FE, NM
ZIP 87508
Phone: (505) 399-0106
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Pauline Sara Mondragon, APRN-CNP is a psychiatric/mental health nurse practitioner in Santa Fe, NM with 11 years of experience. Pauline Sara Mondragon, APRN-CNP NPI is 1740943505. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12 CERRADO RD
SANTA FE, NM
ZIP 87508-253
Phone: (505) 399-0106

The NPI 1740943505 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/19/2021 and was last updated on 10/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	65312	NEW MEXICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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