Individual
JANELLE AILEEN MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, AGPCNP-BC, ACHPN
Contact information
Practice address
261 BROOME ST, APT. 6D, NEW YORK, NY 10002-4533
(347) 601-3401
Mailing address
261 BROOME ST, APT. 6D, NEW YORK, NY 10002-4533
(347) 601-3401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
617453-1
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
F307122-1
NY
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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