Organization
LAURIE MENDIOLA, CNP,LLC
Active
Other names
Laurie J. Mendiola
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE J MENDIOLA CNP (OWNER)
(505) 830-6018
Entity
Organization
Contact information
Practice address
3150 CARLISLE BLVD NE STE 108, ALBUQUERQUE, NM 87110-1680
(505) 830-6018
Mailing address
7112 PORTULACA DR NW, ALBUQUERQUE, NM 87120-2763
(505) 553-2278
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44384777
—
NM
Enumeration date
01/08/2008
Last updated
01/08/2008
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