Doctor Name: | MISS MARY KATHLEEN MENDENHALL |
NPI Number: | 1023428356 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | RN 60206116 |
Business Practice Address: | 640 S Mission St Wenatchee, WA - 988013050 |
Business Phone Number: | 5096626761 |
Business Fax Number: | 5098885537 |
Mailing Address: | 640 S Mission St, WENATCHEE |
State: | WA |
Postal Code: | 988013050 |
Phone Number: | 5096626761 |
Fax Number: | 5098885537 |
NPI Enumeration Date: | 05/08/2014 |
NPI Last Update Date: | 05/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | RN 60206116 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |