Individual
PATRICIO MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
6489 W RIVULET RD, HERRIMAN, UT 84096-1421
(801) 699-5629
Mailing address
6489 W RIVULET RD, HERRIMAN, UT 84096-1421
(801) 699-5629
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6098830-8900
UT
363LF0000X
Family Nurse Practitioner
6098830-4405
UT
Other
Enumeration date
01/10/2022
Last updated
06/22/2022
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