Individual
MR. TOM MOGONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, ARNP-PMHNP-BC
Contact information
Practice address
100 E EUCLID AVE, STE 157, DES MOINES, IA 50313-4583
(515) 585-0008
(307) 215-1187
Mailing address
1712 PIONEER AVE STE 997, CHEYENNE, WY 82001-4406
(913) 710-2373
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
42009.1847
WY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
78352
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G155679
IA
Other
Enumeration date
08/30/2018
Last updated
09/29/2025
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