# BREEZY MICHELLE MENDOZA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679016885
- **Gender:** F
- **Credential:** PMHNP, FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | AP9650 | AZ | Yes |

## Other

- **Enumeration date:** 11/21/2016
- **Last updated:** 05/11/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 219432 | — | AZ |
| 01 | — | Z196640 | MEDICARE PTAN | AZ |