Provider Demographics
NPI:1598013906
Name:ONDARA, EMILLY MORAA (RN)
Entity Type:Individual
Prefix:
First Name:EMILLY
Middle Name:MORAA
Last Name:ONDARA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1908 SKYLINE DR N
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-2928
Mailing Address - Country:US
Mailing Address - Phone:952-594-4862
Mailing Address - Fax:
Practice Address - Street 1:1908 SKYLINE DR N
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-2928
Practice Address - Country:US
Practice Address - Phone:952-594-4862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN410602163WH0200X
MNR206893-0163W00000X
MN2068930163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health