Individual
KELSI MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1207 STARFIRE DR, OTTAWA, IL 61350-1693
(815) 434-5606
Mailing address
304 S EUCLID AVE, PRINCETON, IL 61356-2137
(815) 303-4194
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.028525
IL
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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