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NPI Code Detail

MEDICARE: MRS. MONICA M RONDEAU PNP

MEDICARE: MRS. MONICA M RONDEAU PNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician2014022529MO

General Provider Information

NPI Number : 1710394317
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MONICA M RONDEAU PNP
Provider Business Mailing Address
First Line : 8781 N PLATTE PURCHASE DR
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-1829
Country : US
Telephone Number : 816-587-3200
Fax Number : 816-587-7644
Provider Business Practice Location Address
First Line : 8781 N PLATTE PURCHASE DR
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-1829
Country : US
Telephone Number : 816-587-3200
Fax Number : 816-587-7644
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2014
Last Update Date : 11/11/2014

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