MRS. CAROLYN L. MENDIOLA FRUGE (NPI# 1205490992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205490992 |
Entity Type | Individual |
Full Name | MRS. CAROLYN L. MENDIOLA FRUGE |
Credential | MSN. AGNP |
Practice Address |
1244 N Marine Corps Dr Tamuning GU 96913-4308 |
Mailing Address |
Po Box 7358 Agat GU 96928-0358 |
Practice Telephone | 6716478262 |
Practice Fax Number | 6716475252 |
Mailing Telephone | 6714871927 |
Enumeration Date | 2019-04-28 |
Last Update Date | 2019-04-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
NP-0198 | GU | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1244 N MARINE CORPS DR |
City | TAMUNING |
State | GU |
Zip Code | 96913-4308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922023654 | Arania Oceanis Adolphson | Family Medicine | 1244 N Marine Corps Dr, Tamuning, GU 96913-4308 | 2006-07-13 |
1083184741 | Leinani Matsue Quintanilla Naholowaa | Counselor | 1244 N Marine Corps Dr, Tamuning, GU 96913-4308 | 2018-11-26 |
1770051153 | Rhodora Roque Cruz | Registered Nurse | 1244 N Marine Corps Dr, Tamuning, GU 96913-4308 | 2018-11-05 |
1457734022 | Jesse Unsiog Baleto | Counselor | 1244 N Marine Corps Dr, Suite 101, Tamuning, GU 96913-4308 | 2015-07-01 |
1144653890 | Amanda Del Rosario | Pediatrics | 1244 N Marine Corps Dr, Tamuning, GU 96913-4308 | 2013-08-16 |
1851738678 | Stephen William Kane | Psychologist | 1244 N Marine Corps Dr, Tamuning, GU 96913-4308 | 2013-06-03 |
1003155318 | Louise Mcintyre Toves | Marriage & Family Therapist | 1244 N Marine Corps Dr, Tamuning, GU 96913-4308 | 2013-02-06 |
1992067474 | Jeremy Steven Raab | Family Medicine | 1244 N Marine Corps Dr, Tamuning, GU 96913-4308 | 2012-06-11 |
1164791315 | Valerie K Reyes | Counselor | 1244 N Marine Corps Dr, Suite 101, Tamuning, GU 96913-4308 | 2011-12-16 |
1366683682 | Milliecor Itugot Fojas | Pediatrics | 1244 N Marine Corps Dr, Tamuning, GU 96913-4308 | 2009-03-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871126219 | Hannah Marie Sabo Laney | Behavior Technician | 212 Farenholt Ave., Tamuning, GU 96913 | 2020-02-13 |
1720618499 | Jacquelin Gouniai | Counselor | 121 North Sabana Drive Detcha Court, Barrigada Heights, GU 96913 | 2020-01-22 |
1205475753 | Gabriela Victoria Perez | Behavior Technician | 212 Farenholt Ave, Tamuning, GU 96913 | 2020-01-02 |
1073154944 | Quenie-mei Tuliao Fisher | Pharmacist | 790 Governor Carlos Camacho Rd, Tamuning, GU 96913 | 2019-10-02 |
1366090698 | Elizabeth Rabon | Technician | 251 Carnation Ave, Mangilao, GU 96913 | 2019-08-29 |
1467000299 | Yun Ming Lin | Pharmacist | 850 Gov. Carlos Camacho Street, Tamuning, GU 96913 | 2019-08-26 |
1902465354 | Anthony John Litwinchuk Jr. | Audiologist | Usnh Guam - Audiology Department, Bldg #50 Farenholt Ave, Agana Heights, GU 96913 | 2019-06-10 |
1124580600 | Khkn Corporation | Acupuncturist | 817 N Marine Corps Dr 109, Tamuning, GU 96913 | 2019-04-03 |
1700346541 | Amc Mental Health, LLC | Marriage & Family Therapist | 263 Vietnam Veterans Highway, Mangilao, GU 96913 | 2019-03-20 |
1295292365 | Jhaymie Lynn Salarzon Bejerana | Behavior Technician | Building 1350 #216, Upper Tumon, GU 96913 | 2019-02-26 |
Find all providers in zip 96913 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.