Individual
BETH JOHANNA MONDSCHEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5340 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1470
(574) 237-1328
(574) 237-1348
Mailing address
PO BOX 746092, ATLANTA, GA 30374-6092
(574) 334-5390
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71008621A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71008621A
APN LICENSE
IN
Enumeration date
12/21/2012
Last updated
11/15/2023
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