Healthcare Provider Details

I. General information

NPI: 1922936269
Provider Name (Legal Business Name): KARLA VALDEZ MENDEZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 HAVERHILL ST
LAWRENCE MA
01841-2884
US

IV. Provider business mailing address

93 CAMDEN ST
METHUEN MA
01844-4350
US

V. Phone/Fax

Practice location:
  • Phone: 978-686-0090
  • Fax:
Mailing address:
  • Phone: 787-920-0103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN10028445
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: