Individual provider · Type 1 NPI

Samuel Mendez, LPN, QBHP

Licensed Practical Nurse · Fort Smith, AR

NPI number 1376029009 Active

Practice location

3111 S 70th St
Fort Smith, AR 72903-5017

Call (479) 452-6650 Map

Fax (479) 452-5847

Mailing address

PO Box 11818
Fort Smith, AR 72917-1818

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XQBPH (AR)
Licensed Practical Nurse Primary 164W00000XL056222 (AR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1376029009

Samuel Mendez, LPN, QBHP's National Provider Identifier is 1376029009, issued on Jul 16, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Smith, AR. The record was last updated on Jul 16, 2018.