MEDICARE: EUNICE M MENTGES FNP-BC

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	363LF0000X	Family Nurse Practitioner	21207	CA
2	163WP2201X	Ambulatory Care Registered Nurse	800733	CA

General Provider Information

NPI Number	:	1417093055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUNICE M MENTGES FNP-BC

Provider Business Mailing Address
First Line	:	5290 STATE ST
Second Line	:
City	:	KELSEYVILLE
State	:	CA
Zip	:	95451-9450
Country	:	US
Telephone Number	:	707-279-8813
Fax Number	:

Provider Business Practice Location Address
First Line	:	5290 STATE ST
Second Line	:
City	:	KELSEYVILLE
State	:	CA
Zip	:	95451-9450
Country	:	US
Telephone Number	:	707-279-8813
Fax Number	:

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

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	01/10/2014

Similar Medicare Providers

1962492876 — ADVENTIST HEALTH CLEARLAKE HOSPITAL INC.
Practice Location Address:

5290 STATE ST
KELSEYVILLE, CA
95451-9450

Practice Phone: 707-279-8813
Practice Fax: 707-279-2241

1346246261 — KELSEYVILLE FIRE PROTECTION DISTRICT
Practice Location Address:

4020 MAIN ST
KELSEYVILLE, CA
95451-7410

Practice Phone: 707-279-4268
Practice Fax:

1407812019 — BRADLEY JAMES SMITH PT
Practice Location Address:

5289 STATE ST
KELSEYVILLE, CA
95451

Practice Phone: 707-279-0881
Practice Fax: 707-279-0887

1619910767 — DR. PRASONG IAMSUREY D.D.S.
Practice Location Address:

4150 MAIN ST
KELSEYVILLE, CA
95451-9402

Practice Phone: 707-279-4251
Practice Fax: 707-279-8335

1316972425 — PAULA R DHANDA
Practice Location Address:

5685 MAIN STREET
KELSEYVILLE, CA
95451

Practice Phone: 707-263-8733
Practice Fax: 707-262-0313

1821013764 — DR. OLGA SEGAL MD
Practice Location Address:

3455 WESTRIDGE DR
KELSEYVILLE, CA
95451-8227

Practice Phone: 707-279-2932
Practice Fax: 707-994-7096

Directions to “ EUNICE M MENTGES FNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.