Mondero, Carie Ann

Mondero, Carie Ann is an individual health care provider with primary practice located at 1630 Lafayette Rd Ste 400 , Crawfordsville IN 47933-1095. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Other Service Providers / Midwife is her primary health care specialty. Mondero, Carie Ann can be contacted via phone (765) 428-5888.

Contact Information

Primary practice address
1630 Lafayette Rd Ste 400 Crawfordsville IN 47933-1095
Phone: (765) 428-5888
Fax: (765) 361-2086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 09000145A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209007251 Illinois
Other Service Providers / Midwife 176B00000X 71004794A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 71004794A Indiana

Profile Details

NPI number 1912230186
LBN Legal business name Mondero, Carie Ann
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2009
Last updated Oct 12th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912230186 NPPES
Indiana Other 471400417 MEDICARE PTAN
Indiana MEDICAID 201220170 MEDICARE PTAN

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