Individual
CANDACE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2080 W ARLINGTON BLVD STE A, GREENVILLE, NC 27834-3770
(252) 689-6161
Mailing address
11350 MCCORMICK ROAD, EXECUTIVE PLAZA 1, SUITE 501, HUNT VALLEY, MD 21031-8732
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3008356
KY
363L00000X
Nurse Practitioner
Primary
5008800
NC
363LF0000X
Family Nurse Practitioner
5008800
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100271570
—
KY
Enumeration date
11/22/2013
Last updated
07/11/2023
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