# PEDRO ALBERTO MENDOZA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1861769598
- **Gender:** Man
- **Credential:** AGACNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 705297 | TX | — |
| 363L00000X | Nurse Practitioner | AP120223 | TX | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | 222969 | CT | — |
| 363LA2100X | Acute Care Nurse Practitioner | 95023815 | CA | — |

## Other

- **Enumeration date:** 11/23/2011
- **Last updated:** 03/25/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 222969 | NURSE PRACTITIONER LICENSE | CT |
| 01 | — | 705297 | RN LICENSE | TX |
| 01 | — | 95023815 | ACNP | CA |
| 01 | — | AP120223 | NURSE PRACTITIONER LICENSE | TX |