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NPI Code Detail

MEDICARE: KAREN MUNDIN APRN

MEDICARE:   KAREN  MUNDIN  APRN
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11039208FL

General Provider Information

NPI Number : 1821885427
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN MUNDIN APRN
Provider Business Mailing Address
First Line : 105 N ALEXANDER ST STE 105
Second Line :
City : PLANT CITY
State : FL
Zip : 33563-4831
Country : US
Telephone Number : 813-755-7300
Fax Number :
Provider Business Practice Location Address
First Line : 105 N ALEXANDER ST STE 105
Second Line :
City : PLANT CITY
State : FL
Zip : 33563-4831
Country : US
Telephone Number : 813-755-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2025
Last Update Date : 05/31/2025

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