| Doctor Name: | IRMA MENDOZA |
| NPI Number: | 1114113313 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN/BSN |
| License Number: | 43478 |
| Business Practice Address: | 15400 E 14th Pl Ste 309 Aurora, CO - 800115828 |
| Business Phone Number: | 3033633019 |
| Business Fax Number: | 3033409929 |
| Mailing Address: | 6162 S Willow Dr Ste 100, GREENWOOD VILLAGE |
| State: | CO |
| Postal Code: | 801115113 |
| Phone Number: | 3032209208 |
| Fax Number: | 3037414173 |
| NPI Enumeration Date: | 09/20/2007 |
| NPI Last Update Date: | 02/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 164W00000X |
| License Number: | 43478 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Licensed Practical Nurse |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |