Provider Demographics
NPI:1326866906
Name:MENDOZA BRUNO, SOFIA FRANCISCA (ARNP)
Entity type:Individual
Prefix:
First Name:SOFIA
Middle Name:FRANCISCA
Last Name:MENDOZA BRUNO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:201 S CLINTON ST STE 168
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-4034
Mailing Address - Country:US
Mailing Address - Phone:319-471-3413
Mailing Address - Fax:319-467-8105
Practice Address - Street 1:201 S CLINTON ST STE 168
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-4034
Practice Address - Country:US
Practice Address - Phone:319-471-3413
Practice Address - Fax:319-467-8105
Is Sole Proprietor?:No
Enumeration Date:2024-10-01
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAA180874363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily