Individual
ARELY MENDEZ PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 E HAMPDEN AVE, ENGLEWOOD, CO 80113-3781
(706) 863-9595
(706) 868-8375
Mailing address
PO BOX 12330, AUGUSTA, GA 30914-2330
(706) 863-9595
(706) 868-8375
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0996768-NP
CO
363LA2100X
Acute Care Nurse Practitioner
APN.0996768-NP
CO
363LA2200X
Adult Health Nurse Practitioner
APN.0996768-NP
CO
363LG0600X
Gerontology Nurse Practitioner
APN.0996768-NP
CO
Other
Enumeration date
06/28/2021
Last updated
08/10/2021
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