MEDICARE: MEGAN NICOLE MONDA

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
1	163WS0200X	School Registered Nurse	2019004726	MO

General Provider Information

NPI Number	:	1467217752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN NICOLE MONDA

Provider Business Mailing Address
First Line	:	1231 WESTOVER AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63130-1546
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1231 WESTOVER AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63130-1546
Country	:	US
Telephone Number	:	314-550-5673
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2024
Last Update Date	:	02/16/2024

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Directions to “ MEGAN NICOLE MONDA ” Practice Location

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