Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANA LYNETTE MUNDY
Active Sole ProprietorSHANA LYNETTE MUNDY is a Preferred Provider Organization healthcare provider located in SPRINGFIELD, Ohio. NPI 1023605862 is currently active in the NPPES registry. Verify at CMS.
Preferred Provider Organization · SPRINGFIELD, OH
Registration Details
- NPI Number
- 1023605862
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 28, 2020 (5.653722823298 yrs)
- Last Updated
- Dec 28, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
345 LARCHMONT AVESPRINGFIELD, OH, 455035423Browse OH providers · Browse ZIP 45503
- Phone
- 9376315017
- Primary Specialty
-
Preferred Provider Organization
305R00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.