Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN PROUT MENDENILLA, RN
ActiveSUSAN PROUT MENDENILLA, RN is a Registered Nurse healthcare provider located in LAKE GEORGE, Colorado. NPI 1619302155 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · LAKE GEORGE, CO
Registration Details
- NPI Number
- 1619302155
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 3, 2013 (12.974168759708 yrs)
- Last Updated
- Sep 3, 2013
- License
-
RN.0121121 (CO)
Practice Information
- Address
-
189 GOLD CREEK DRLAKE GEORGE, CO, 808279009Browse CO providers · Browse ZIP 80827
- Phone
- 7197485079
- Primary Specialty
-
Registered Nurse
163W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.