Individual
EDITH B MENCHAVEZ
Active
Individual
EDITH B MENCHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR08941300
NJ
363LA2100X
Acute Care Nurse Practitioner
26NJ00271900
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
F430766-1
NY
Other
Enumeration date
05/14/2013
Last updated
11/26/2014
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