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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912230186 | NPPES |
| Indiana | Other | 471400417 | MEDICARE PTAN |
| Indiana | MEDICAID | 201220170 | MEDICARE PTAN |
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