Individual
MEGAN MARIE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PMHNP-DNP BC
Contact information
Practice address
2500 DELL RANGE BLVD, CHEYENNE, WY 82009-5273
(307) 630-4729
(307) 632-3298
Mailing address
201 14TH ST, WHEATLAND, WY 82201-3201
(307) 322-3636
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
31717
WY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
54060
WY
Other
Enumeration date
11/15/2021
Last updated
07/22/2024
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