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Individual

MS. MYRA MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN, MSN, AGACNP

Contact information

Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 956-9564

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0031345
OH
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.0031345
OH
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.0031345
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.0031345
OH

Other

Enumeration date
06/09/2022
Last updated
11/06/2023
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