Healthcare Provider Details

I. General information

NPI: 1043914724
Provider Name (Legal Business Name): KARINA MICHAELA DEL MUNDO FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 03/28/2023
Certification Date: 03/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 W CENTRAL ST
NATICK MA
01760-4310
US

IV. Provider business mailing address

137 W CENTRAL ST
NATICK MA
01760-4310
US

V. Phone/Fax

Practice location:
  • Phone: 508-655-2109
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2348732
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: