Healthcare Provider Details

I. General information

NPI: 1942701586
Provider Name (Legal Business Name): ERIKA VICTORIA MEZA RODRIGUEZ ACNPC-AG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIKA MEZA RODRIGUEZ DNP

II. Dates (important events)

Enumeration Date: 02/27/2018
Last Update Date: 02/14/2026
Certification Date: 02/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 ANTHONY DR STE 5
ANTHONY NM
88021-9157
US

IV. Provider business mailing address

957 PECOS RIVER PL
EL PASO TX
79932-1710
US

V. Phone/Fax

Practice location:
  • Phone: 575-915-8424
  • Fax:
Mailing address:
  • Phone: 915-290-8262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP137710
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP137710
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number70679
License Number StateNM
# 4
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number70679
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: