Mendoza Mendez, Glenda E
Mendoza Mendez, Glenda E is an sole proprietor health care provider with primary practice located at 4111 Alderwood Mall Blvd , Lynnwood WA 98036-6765. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mendoza Mendez, Glenda E can be contacted via phone (425) 616-4100.Contact Information
Primary practice address
4111 Alderwood Mall Blvd
Lynnwood WA 98036-6765
Phone: (425) 616-4100
Fax: (425) 616-4115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP61487220 | Washington |
Profile Details
| NPI number | 1477151025 |
|---|---|
| LBN Legal business name | Mendoza Mendez, Glenda E |
| Credentials | RN, ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2020 |
| Last updated | May 2nd, 2024 - about last year |
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 | 1477151025 | NPPES |
| Washington | MEDICAID | 2173640 |
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