EILEEN O MUNDENAR P.A. NPI 1881754471

NPI Information

NPI: 1881754471
Provider Name: EILEEN O MUNDENAR, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
6200 SHINGLE CREEK PKWY
SUITE 300
BROOKLYN CENTER, MN
ZIP 55430
Phone: (763) 561-5349
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Eileen O Mundenar, P.A. is a medical physician assistant in Brooklyn Center, MN. Eileen O Mundenar, P.A. NPI is 1881754471. 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:

6200 SHINGLE CREEK PKWY
SUITE 300
BROOKLYN CENTER, MN
ZIP 55430-128
Phone: (763) 561-5349
Fax: (763) 561-7792

The NPI 1881754471 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 3/30/2010.

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	363AM0700X	Physician Assistant	Medical	10221	MINNESOTA	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: 4/28/2024

NPI Synchronization or Removal

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