Provider Demographics
NPI:1710394317
Name:RONDEAU, MONICA M (PNP)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:M
Last Name:RONDEAU
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:M
Other - Last Name:LEIKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PNP
Mailing Address - Street 1:8781 N PLATTE PURCHASE DR
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64155-1829
Mailing Address - Country:US
Mailing Address - Phone:816-587-3200
Mailing Address - Fax:816-587-7644
Practice Address - Street 1:8781 N PLATTE PURCHASE DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64155-1829
Practice Address - Country:US
Practice Address - Phone:816-587-3200
Practice Address - Fax:816-587-7644
Is Sole Proprietor?:No
Enumeration Date:2014-07-15
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014022529208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics