Individual
PEDRO ALBERTO MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 527-7501
Mailing address
8608 SPINDLETOP DR, FORT WORTH, TX 76120-2001
(915) 274-2868
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
705297
TX
363L00000X
Nurse Practitioner
Primary
AP120223
TX
363LA2100X
Acute Care Nurse Practitioner
222969
CT
363LA2100X
Acute Care Nurse Practitioner
95023815
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222969
NURSE PRACTITIONER LICENSE
CT
01
—
705297
RN LICENSE
TX
01
—
95023815
ACNP
CA
01
—
AP120223
NURSE PRACTITIONER LICENSE
TX
Enumeration date
11/23/2011
Last updated
03/25/2025
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