Mendes, Shirley A
Mendes, Shirley A is an sole proprietor health care provider with primary practice located at 270 Mohegan Avenue Warnshuis Building, New London CT 06320-4125. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mendes, Shirley A can be contacted via phone (860) 439-2275.Contact Information
Primary practice address
270 Mohegan Avenue Warnshuis Building
New London CT 06320-4125
Phone: (860) 439-2275
Fax: (860) 439-5430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 005194 | Connecticut |
Profile Details
| NPI number | 1295706554 |
|---|---|
| LBN Legal business name | Mendes, Shirley A |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Nov 25th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295706554 | NPPES |
| Connecticut | MEDICAID | 1295706554 |
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