Individual provider · Type 1 NPI
Amanda Lee Mondor, NP
Acute Care Nurse Practitioner · Garden Grove, CA
NPI number
1700423266
Active
Practice location
6281 Santa Barbara Ave
Garden Grove, CA 92845-1246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95012357 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1700423266
Amanda Lee Mondor, NP's National Provider Identifier is 1700423266, issued on Dec 4, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Garden Grove, CA. The record was last updated on Dec 4, 2019.