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Individual
MRS. JOY MAE MENDENHALL
Active
Individual
MRS. JOY MAE MENDENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP0139
AZ
363LP0200X
Pediatric Nurse Practitioner
RN041430
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
463662
—
AZ
Enumeration date
11/06/2006
Last updated
07/09/2007
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