Individual
MS. GINA MARIE MUNDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2920 N CASCADE AVE, 3RD FLOOR, COLORADO SPRINGS, CO 80907-6262
(719) 636-1201
(719) 955-0986
Mailing address
2920 N CASCADE AVE, 3RD FLOOR, COLORADO SPRINGS, CO 80907-6262
(719) 636-1201
(719) 955-0986
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
APN.0005322-NP
CO
208M00000X
Hospitalist Physician
APN.0005322-NP
CO
363L00000X
Nurse Practitioner
APN.0005322-NP
CO
363LF0000X
Family Nurse Practitioner
125863
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0005322
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69171751
—
CO
Enumeration date
11/05/2008
Last updated
04/10/2024
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