Basic Information
| Provider Information | |||||||||
| NPI: | 1811249634 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MUND | ||||||||
| FirstName: | MINDY | ||||||||
| MiddleName: | KRAMER | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3100 WESTON RD | ||||||||
| Address2: | |||||||||
| City: | WESTON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333313602 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9546895806 | ||||||||
| FaxNumber: | 9546595256 | ||||||||
| Practice Location | |||||||||
| Address1: | 3100 WESTON RD | ||||||||
| Address2: | |||||||||
| City: | WESTON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333313602 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9546895806 | ||||||||
| FaxNumber: | 9546595256 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2012 | ||||||||
| LastUpdateDate: | 10/03/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WM0705X | 9217682 | FL | Y | Nursing Service Providers | Registered Nurse | Medical-Surgical |
No ID Information.