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Individual
BREEZY MICHELLE MENDOZA
Active
Individual
BREEZY MICHELLE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61195153
WA
363L00000X
Nurse Practitioner
C-APN.0100289-C-NP
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1160775
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP9650
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219432
—
AZ
01
—
Z196640
MEDICARE PTAN
AZ
Enumeration date
11/21/2016
Last updated
05/11/2026
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