Individual provider · Type 1 NPI

Kelly Chambers Mendoza

Family Nurse Practitioner · Baton Rouge, LA

NPI number 1366816837 Active

Practice location

9001 Summa Ave
Baton Rouge, LA 70809-3726

Mailing address

18556 Fairway Oaks Ct
Baton Rouge, LA 70809-6751

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP0556 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1366816837

Kelly Chambers Mendoza's National Provider Identifier is 1366816837, issued on Nov 21, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Baton Rouge, LA. The record was last updated on Nov 21, 2015.