Individual
MS. SHIRLEY A MENDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
270 MOHEGAN AVENUE, WARNSHUIS BUILDING, NEW LONDON, CT 06320-4125
(860) 439-2275
(860) 439-5430
Mailing address
270 MOHEGAN AVENUE, NEW LONDON, CT 06320-4125
(860) 439-2275
(860) 439-5430
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
005194
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295706554
—
CT
Enumeration date
01/26/2006
Last updated
11/25/2018
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