Individual
NICOLE ANN-MARIE MUNDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1076 E 56TH ST, BROOKLYN, NY 11234-2404
(347) 423-2041
Mailing address
1076 E 56TH ST, BROOKLYN, NY 11234-2404
(347) 423-2041
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F3079151
NY
Other
Enumeration date
05/25/2017
Last updated
07/21/2022
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