Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evan Shea Mendoza

Individual provider Flight Registered Nurse · NPI 1861329930

Evan Shea Mendoza is a Flight Registered Nurse in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone: (815) 971-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Flight Registered Nurse (primary) Taxonomy 163WF0300X · Licence 041517013 (IL)

Record details

NPI number1861329930
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 5, 2026
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address5409 East Dr, Loves Park, IL 61111-5025