BLAIR R MENDOZA APRN NPI 1710332648

NPI Information

Blair R Mendoza, APRN is a family nurse practitioner in Bowling Green, KY with 9 years of experience. Blair R Mendoza, APRN NPI is 1710332648. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

440 HIGH ST
STE A
BOWLING GREEN, KY
ZIP 42101-707
Phone: (270) 282-7105
Fax: (270) 282-7109

The NPI 1710332648 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/28/2016 and was last updated on 2/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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