# MOBILE MENDY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1770251068
- **Authorized official:** MRS. TARA FORSTIE CPNP-AC (OWNER/PROVIDER)
- **Authorized official phone:** (602) 769-1137

## Contact information

- **Practice address:** 829 E STEINBECK DR, ANTHEM, AZ 85086
- **Practice address phone:** (602) 769-1137
- **Mailing address:** 515 E CAREFREE HWY \# 299, PHOENIX, AZ 85085-8839
- **Mailing address phone:** (602) 769-1137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/01/2021
- **Last updated:** 09/01/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1285005470 | NPI | AZ |