Individual provider · Type 1 NPI

Ethan Mondell

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1194589614 Active

Practice location

600 N Wolfe St
Baltimore, MD 21287-0005

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004

Other practice locations

  • 1800 Orleans St, Baltimore, MD 21287-0010 · (410) 502-2037

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194589614

Ethan Mondell's National Provider Identifier is 1194589614, issued on Feb 6, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Jun 22, 2026.