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NPI Code Detail

MEDICARE: MEKENZIE MENDOZA CNM

MEDICARE: MEKENZIE MENDOZA CNM
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
1367A00000XAdvanced Practice Midwife09000488AIN
2363LW0102XWomen's Health Nurse Practitioner71016250AIN
3163WA2000XAdministrator Registered Nurse28259659AIN

General Provider Information

NPI Number : 1265267785
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEKENZIE MENDOZA CNM
Provider Business Mailing Address
First Line : 8051 S EMERSON AVE STE 400
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-8633
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8051 S EMERSON AVE STE 400
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-8633
Country : US
Telephone Number : 260-273-8783
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2024
Last Update Date : 01/20/2026

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Directions to “ MEKENZIE MENDOZA CNM” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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