| Patricio Mendoza, FNP-C | |
|
6489 W Rivulet Rd, Herriman, UT 84096-1421 | |
| (801) 699-5629 | |
| Not Available |
| Full Name | Patricio Mendoza |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 6489 W Rivulet Rd, Herriman, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184375370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 6098830-4405 (Utah) | Secondary |
| 363L00000X | Nurse Practitioner | 6098830-8900 (Utah) | Primary |
| Entity Name | Physician Group Of Utah Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942903562 PECOS PAC ID: 8022927342 Enrollment ID: O20230615001995 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricio Mendoza, FNP-C 6489 W Rivulet Rd, Herriman, UT 84096-1421 Ph: (801) 699-5629 | Patricio Mendoza, FNP-C 6489 W Rivulet Rd, Herriman, UT 84096-1421 Ph: (801) 699-5629 |
Kirt W Larson, MSN,FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13352 South 5600 West, Herriman, UT 84096 Phone: 801-446-2760 Fax: 801-446-2762 | |
Ms. Elyse S Borha, BSN, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12836 S New Rowley Ln, Herriman, UT 84096 Phone: 347-613-3493 | |
Mrs. Shelby Sue Bowman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14176 S Wembley Cir, Herriman, UT 84096 Phone: 801-413-6307 | |
Hannah Thompson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14448 S Temecula Ct, Herriman, UT 84096 Phone: 702-509-0584 | |
Mrs. Edith A Shepherd, APRN LLC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6923 W Long Ridge Dr, Herriman, UT 84096 Phone: 801-662-8951 Fax: 801-542-0671 | |
Penny Wesel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5643 W Bonica Ln, Herriman, UT 84096 Phone: 801-472-4836 |