Healthcare Provider Details

I. General information

NPI: 1548057177
Provider Name (Legal Business Name): MRS. ARIEL MENDOZA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. ARIEL MENDOZA SCAIFE

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 JACKSON ST NE STE 100
MINNEAPOLIS MN
55413-3051
US

IV. Provider business mailing address

1910 52ND ST E APT 110
INVER GROVE HEIGHTS MN
55077-6617
US

V. Phone/Fax

Practice location:
  • Phone: 612-353-6293
  • Fax:
Mailing address:
  • Phone: 651-235-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: