# BREEZY MENDOZA NP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669063798
- **Authorized official:** BREEZY MENDOZA NP (OWNER)
- **Authorized official phone:** (480) 257-6383

## Contact information

- **Practice address:** 5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
- **Practice address phone:** (480) 257-6383
- **Mailing address:** 10031 W VIA MONTOYA DR, PEORIA, AZ 85383-3299
- **Mailing address phone:** (480) 257-6383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | — | NULL | Yes |
| 163WR0006X | Registered Nurse First Assistant | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/01/2021
- **Last updated:** 02/01/2021