Individual
SOPHIA MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2284079
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2284079
MA
Other
Enumeration date
04/06/2022
Last updated
08/05/2024
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