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NPI Code Detail

MEDICARE: MARIE-EVE LACERTE-MENDEZ FNP-C

MEDICARE:   MARIE-EVE  LACERTE-MENDEZ  FNP-C
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
1363LF0000XFamily Nurse Practitioner1126563TX

General Provider Information

NPI Number : 1528847084
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE-EVE LACERTE-MENDEZ FNP-C
Provider Business Mailing Address
First Line : 5229 SANDERS AVE
Second Line :
City : EL PASO
State : TX
Zip : 79924-6409
Country : US
Telephone Number : 915-832-4045
Fax Number :
Provider Business Practice Location Address
First Line : 5229 SANDERS AVE
Second Line :
City : EL PASO
State : TX
Zip : 79924-6409
Country : US
Telephone Number : 915-564-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2023
Last Update Date : 05/14/2024

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Directions to “ MARIE-EVE LACERTE-MENDEZ FNP-C” Practice Location

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