Individual
PATRICIA MENCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3250 FREEDOM DR, CHARLOTTE, NC 28208-2817
(704) 709-6009
(704) 899-0470
Mailing address
30 W MONROE ST STE 1200, CHICAGO, IL 60603-2420
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
001852
CT
363L00000X
Nurse Practitioner
Primary
5009719
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004188662
—
CT
01
—
P000057594
RAILROAD MEDICARE
CT
Enumeration date
02/08/2006
Last updated
03/13/2020
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