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Contact Information

PEDRO A MENDOZA, AGACNP
707 SHERIDAN AVE
CODY, WY82414-3409
 Phone: 307-527-7501
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for PEDRO A MENDOZA · (Male)

NPI Number 1861769598
Status Active
Credentials AGACNP
Entity Individual
Enumeration date 11/23/2011
Last updated 03/25/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 95023815
  • CT License # 222969
  • TX License # 705297
  • TX License # AP120223
  • CA Other 95023815 ACNP
  • CT Other 222969 NURSE PRACTITIONER LICENSE
  • TX Other AP120223 NURSE PRACTITIONER LICENSE
  • TX Other 705297 RN LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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