MEDICARE: MRS. TINA MARIE MENGHE FNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1216115	TX
2	363LF0000X	Family Nurse Practitioner	273241	AZ
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	813270	NV
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	209032814	IL
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26NJ15474200	NJ
6	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP61661030	WA
7	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	16493-33	WI
8	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	273241	AZ
9	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11041489	FL
10	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	31204	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235343120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TINA MARIE MENGHE FNP-BC

Provider Business Mailing Address
First Line	:	261 N ROOSEVELT AVE
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85226-2617
Country	:	US
Telephone Number	:	480-677-8282
Fax Number	:	844-881-3714

Provider Business Practice Location Address
First Line	:	1121 S HIGLEY RD STE 106
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85206-2855
Country	:	US
Telephone Number	:	480-677-8282
Fax Number	:	888-316-1686

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

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	04/01/2026

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