MEDICARE: KATHERIN BELEN MENDOZA RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	890795	NV

General Provider Information

NPI Number	:	1821961699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERIN BELEN MENDOZA RN

Provider Business Mailing Address
First Line	:	1411 STILLWATER BRIDGE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89142-7921
Country	:	US
Telephone Number	:	702-463-1011
Fax Number	:	702-268-8001

Provider Business Practice Location Address
First Line	:	1411 STILLWATER BRIDGE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89142-7921
Country	:	US
Telephone Number	:	702-463-1011
Fax Number	:	702-268-8001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2025
Last Update Date	:	09/26/2025

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