Individual
DIANA MENDOZA NORIEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5002 W GLENDALE AVE STE 104, GLENDALE, AZ 85301-2756
(623) 847-5300
Mailing address
6745 N 51ST DR, GLENDALE, AZ 85301-3425
(623) 847-5300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
169400
AZ
363LF0000X
Family Nurse Practitioner
221226
AZ
Other
Enumeration date
09/19/2018
Last updated
03/16/2022
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