MEDICARE: ALEJANDRA ELIZABETH ARAIZA MENDOZA PA-C

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	363A00000X	Physician Assistant	0010-16471	NC

General Provider Information

NPI Number	:	1720842347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEJANDRA ELIZABETH ARAIZA MENDOZA PA-C

Provider Business Mailing Address
First Line	:	PO BOX 1490
Second Line	:
City	:	BOONE
State	:	NC
Zip	:	28607-0682
Country	:	US
Telephone Number	:	828-262-3886
Fax Number	:	828-265-4816

Provider Business Practice Location Address
First Line	:	951 ROCKFORD ST
Second Line	:
City	:	MOUNT AIRY
State	:	NC
Zip	:	27030-5323
Country	:	US
Telephone Number	:	336-789-5323
Fax Number	:	828-265-4816

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

Provider Enumeration Date	:	02/13/2024
Last Update Date	:	05/21/2026

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