Individual provider · Type 1 NPI

Hannah Mendoza Prudencio, DO MEDICAL STUDENT

Student in an Organized Health Care Education/Training Program · Chesapeake, VA

NPI number 1285425348 Active

Practice location

736 Battlefield Blvd N
Chesapeake, VA 23320-4941

Call (757) 312-8121 Map

Mailing address

3856 Michaels Landing Cir E
Jacksonville, FL 32224-8677

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285425348

Hannah Mendoza Prudencio, DO MEDICAL STUDENT's National Provider Identifier is 1285425348, issued on May 16, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chesapeake, VA. The record was last updated on May 16, 2025.