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Individual

NOELLE C MUNDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
840 E UNIVERSITY AVE, DES MOINES, IA 50316-2304
(515) 265-4211
(515) 309-5993
Mailing address
8101 BIRCHWOOD CT, SUITE S, JOHNSTON, IA 50131-2930
(515) 471-9720
(515) 471-9725

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A090681
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0481176
IA
Enumeration date
03/30/2006
Last updated
08/29/2011
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