Individual
MAGNOLIA MENDOZA SHAPIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
404 E HIGH ST, POTTSTOWN, PA 19464-5622
(484) 973-6661
(610) 631-3408
Mailing address
404 E HIGH ST, POTTSTOWN, PA 19464-5622
(484) 973-6661
(610) 631-3408
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP025005
PA
Other
Enumeration date
12/07/2021
Last updated
05/20/2022
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