Individual
SETH M MENDENHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1401 W AGENCY RD, WEST BURLINGTON, IA 52655-1643
(319) 768-4191
Mailing address
508 W MORNINGSIDE DR, BURLINGTON, IA 52601-1679
(217) 257-2215
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G170108
IA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/01/2022
Last updated
01/12/2023
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