Individual provider · Type 1 NPI

Pedro Alberto Mendoza, AGACNP

Nurse Practitioner · Cody, WY

NPI number 1861769598 Active

Practice location

707 Sheridan Ave
Cody, WY 82414-3409

Mailing address

8608 Spindletop Dr
Fort Worth, TX 76120-2001

Other practice locations

  • 505 Parnassus Ave, San Francisco, CA 94143-2204 · (415) 476-1000
  • 20 York St, New Haven, CT 06510-3220 · (915) 274-2868

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X705297 (TX)
Acute Care Nurse Practitioner 363LA2100X222969 (CT)
Acute Care Nurse Practitioner 363LA2100X95023815 (CA)
Nurse Practitioner Primary 363L00000XAP120223 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1861769598

Pedro Alberto Mendoza, AGACNP's National Provider Identifier is 1861769598, issued on Nov 23, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cody, WY. The record was last updated on Mar 25, 2025.