Mendoza, Nicole Rae

Mendoza, Nicole Rae is an sole proprietor health care provider with primary practice located at 19 Myrtle St , Medford OR 97504-7337. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Mendoza, Nicole Rae can be contacted via phone (542) 773-3863.

Contact Information

Primary practice address
19 Myrtle St Medford OR 97504-7337
Phone: (542) 773-3863
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201508266NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201508266NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 201508266NP-PP Oregon

Profile Details

NPI number 1649638974
LBN Legal business name Mendoza, Nicole Rae
Credentials RN, MSN, FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2016
Last updated Feb 12th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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