Individual
MICHELE D OMUNDSON
Active
Individual
MICHELE D OMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
1487941072
KS
363LF0000X
Family Nurse Practitioner
Primary
2015005069
MO
363LF0000X
Family Nurse Practitioner
53-76735
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VADOO
UPIN
—
Enumeration date
02/18/2010
Last updated
03/30/2017
Update your record
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