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NPI Code Detail

MEDICARE: ASHLEY MUNDIL NP-C

MEDICARE: ASHLEY MUNDIL NP-C
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
1363LF0000XFamily Nurse Practitioner71008481AIN
2363LF0000XFamily Nurse Practitioner28190746AIN

General Provider Information

NPI Number : 1225511033
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY MUNDIL NP-C
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4525 LAFAYETTE RD STE A
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-2011
Country : US
Telephone Number : 317-821-7346
Fax Number : 877-958-9065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2018
Last Update Date : 03/04/2026

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Directions to “ ASHLEY MUNDIL NP-C” Practice Location

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