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NPI Code Detail

MEDICARE: ELENA MENDEZ FNP-C

MEDICARE: ELENA 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 Practitioner235952AZ

General Provider Information

NPI Number : 1780224105
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELENA MENDEZ FNP-C
Provider Business Mailing Address
First Line : 1644 W THUNDERHILL DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85045-1801
Country : US
Telephone Number : 602-410-7145
Fax Number :
Provider Business Practice Location Address
First Line : 2105 N CITRUS RD
Second Line :
City : GOODYEAR
State : AZ
Zip : 85395-9204
Country : US
Telephone Number : 602-410-7145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2020
Last Update Date : 11/11/2025

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Directions to “ ELENA MENDEZ FNP-C” Practice Location

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