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Individual

ANTHEA MENDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1177 SILAS DEANE HWY STE 2, WETHERSFIELD, CT 06109-4332
(860) 500-7143
(860) 937-5712
Mailing address
1177 SILAS DEANE HWY STE 2, WETHERSFIELD, CT 06109-4332
(860) 937-5708
(860) 937-5712

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
003678
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
000343
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003678
LICENSE
CT
01
42031
CT CONTROLLED SUBSTANCE
CT
Enumeration date
09/26/2007
Last updated
11/09/2025
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