Provider Demographics
NPI:1477171445
Name:MENDUS, MAURA ELIZABETH (APRN, CNP)
Entity Type:Individual
Prefix:
First Name:MAURA
Middle Name:ELIZABETH
Last Name:MENDUS
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2849 GREENSBORO CIR
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-8917
Mailing Address - Country:US
Mailing Address - Phone:515-291-2393
Mailing Address - Fax:
Practice Address - Street 1:3815 STANGE RD
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-3914
Practice Address - Country:US
Practice Address - Phone:515-956-4044
Practice Address - Fax:515-956-4075
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK116159363LF0000X
IAA160020363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily