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Individual
MAURA ELIZABETH MENDUS
Active
Individual
MAURA ELIZABETH MENDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A160020
IA
363LF0000X
Family Nurse Practitioner
116159
OK
Other
Enumeration date
07/07/2020
Last updated
12/01/2021
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