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Individual

STEPHEN L MENENDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP, APRN, MSN

Contact information

Practice address
835 PRIDE DR STE B, HAMMOND, LA 70401-9527
(985) 543-4730
Mailing address
835 PRIDE DR STE B, HAMMOND, LA 70401-9527
(985) 543-4730

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
207598
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
207598
LA

Other

Enumeration date
09/17/2019
Last updated
08/31/2023
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