Healthcare Provider Details

I. General information

NPI: 1326952961
Provider Name (Legal Business Name): JULIE ANN MENDEZ REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4540 HENDERSON BLVD SE APT 206
OLYMPIA WA
98501-4669
US

IV. Provider business mailing address

4540 HENDERSON BLVD SE APT 206
OLYMPIA WA
98501-4669
US

V. Phone/Fax

Practice location:
  • Phone: 253-396-5800
  • Fax:
Mailing address:
  • Phone: 253-396-5800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number729342
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: