Individual
LORRAINE MUNDANCHIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
560 W 168TH ST, NEW YORK, NY 10032-3917
(212) 305-4318
Mailing address
18 CARLTON DR, PARSIPPANY, NJ 07054-7910
(973) 715-0413
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
26NR18930800
NJ
163WC0200X
Critical Care Medicine Registered Nurse
790324
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
26NR18930800
NJ
Other
Enumeration date
07/09/2020
Last updated
09/13/2024
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