Individual
SELENE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1161 MALL DR, STE. C, LAS CRUCES, NM 88011-8193
(575) 522-2330
(575) 522-2344
Mailing address
1161 MALL DR STE C, LAS CRUCES, NM 88011-8193
(575) 522-2330
(575) 522-2344
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
CNP01102
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45401837
—
NM
Enumeration date
05/17/2007
Last updated
10/31/2016
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