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Organization
BREEZY MENDOZA NP LLC
Active
Organization
BREEZY MENDOZA NP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREEZY MENDOZA NP (OWNER)
(480) 257-6383
Entity
Organization
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(480) 257-6383
Mailing address
10031 W VIA MONTOYA DR, PEORIA, AZ 85383-3299
(480) 257-6383
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
—
NULL
163WR0006X
Registered Nurse First Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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