Healthcare Provider Details

I. General information

NPI: 1942140892
Provider Name (Legal Business Name): MARGARET MENDEZ FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2485 DIRECTORS ROW STE D
INDIANAPOLIS IN
46241-4907
US

IV. Provider business mailing address

20128 RILEYSBURG RD
DANVILLE IL
61834-5895
US

V. Phone/Fax

Practice location:
  • Phone: 317-389-5418
  • Fax:
Mailing address:
  • Phone: 765-918-2584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71017923A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: