NPI 1205490992

Carolyn L. Mendiola Fruge, MSNAGNP

Practitioner Gerontology Nurse Practitioner Tamuning, GU

Practice location

Address: 1244 N Marine Corps Dr, Tamuning, GU 96913-4308
Phone: (671) 647-8262
Fax: (671) 647-5252
Mailing address: PO Box 7358, Agat, GU 96928-0358

Registered specialties

Gerontology Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LG0600X Licence NP-0198 (GU)

Other Nurse Practitioner providers in Guam →

Registry record

NPI: 1205490992
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Apr 2019
Record last updated: 28 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.