Individual
MRS. SANDRA REYES-MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2135 HWY 95 STE 135, BULLHEAD CITY, AZ 86442-6005
(928) 218-3493
(928) 268-0262
Mailing address
2135 HWAY 95 STE 135, BULLHEAD CITY, AZ 86442-6005
(928) 218-3493
(928) 268-0262
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP9605
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417306978
NPI
AZ
Enumeration date
06/06/2016
Last updated
10/03/2023
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