MARY J MENDOZA


Address: 200 E Chisum St, Roswell, NM 88203-5406
Phone: 5753472409

MARY J MENDOZA (NPI# 1699803890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699803890
Entity Type Individual
Full Name MARY J MENDOZA
Credential CNP
Practice Address 200 E Chisum St
Roswell
NM 88203-5406
Practice Telephone 5753472409
Practice Fax Number 5756246170
Mailing Telephone 5753472409
Mailing Fax Number 5756246170
Enumeration Date 2007-03-01
Last Update Date 2014-08-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
CNP00410 NM Physician Assistants & Advanced Practice Nursing Providers

Other Providers MARY MENDOZA

NPI Name Taxonomy Address Enumeration
1871667832 Mary Godley Mendoza Dentist 501 N Indian Rd, Smith River, CA 95567-9509 2006-11-20

Office Location

Street Address 200 E CHISUM ST
City ROSWELL
State NM
Zip Code 88203-5406

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770115586 Katherine Bolin Behavior Technician 333 West Brasher Rd. #200, Roswell, NM 88203 2020-02-10
1437660040 Pecos Valley Eye Surgery Center, LLC Clinic/Center 1610 Se Main Street, Roswell, NM 88203 2017-10-23
1285031286 Wheelchair and Walker Rentals, Inc. Durable Medical Equipment & Medical Supplies 305 W Mcgaffey St, Roswell, NM 88203 2014-11-20
1447585914 Whole World Health Care, PC Pediatrics 109 W. Bland, Roswell, NM 88203 2009-10-16
1780825372 Complete Rehab Adult Services Clinic/Center 109 W Bland, Roswell, NM 88203 2009-03-12
1710127220 Roswell Medical Care Health Maintenance Organization 111 W Hobbs, Roswell, NM 88203 2009-02-23
1336330513 Savitri Aguiar Internal Medicine 1511 South Grand, Roswell, NM 88203 2007-08-05
1750455523 Francisco Casio Bicol Jr. Occupational Therapist 200 W 1st St Ste 527, Roswell, NM 88203 2006-11-20
1699861542 Susan Lee Voigt Counselor 200 W 1st, Ste 532, Roswell, NM 88203 2006-10-05
1245336940 Founders Healthcare LLC Durable Medical Equipment & Medical Supplies 104 N Missouri Ave, Roswell, NM 88203 2006-09-16
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326433269 Mollie Flint Rieff Nurse Practitioner 1751 Old Pecos Trl Ste N, Santa Fe, NM 87505-4706 2015-03-30
1588071328 Gretchen Evelynn Szymanski Nurse Practitioner Cannon Afb, 224 W D.l. Ingram Blvd, Cannon Afb, NM 88103 2014-07-14
1386938553 Dina Jene Reid Nurse Practitioner 11616 Snowheights Blvd Ne, Albuquerque, NM 87112-3158 2011-06-06
1174645113 Joanne Marlene Williams Nurse Practitioner 8712 Chambers Pl Ne, Albuquerque, NM 87111-2138 2007-04-03
1841329992 Elena A. Olivas Nurse Practitioner 865 N Main, Anthony, NM 88021-9325 2007-03-05
1669501813 Ramsey Allen Nurse Practitioner 1306 W Stevens St, Carlsbad, NM 88220-4240 2007-03-05
1841329307 Susan Lorraine Garrison Nurse Practitioner 2610 N Silver St, Silver City, NM 88061-7299 2007-03-02
1902940109 Velia Luna I Nurse Practitioner 215 S Silver Ave, Deming, NM 88030-3715 2007-02-19
1295879443 Minerva Ann Claus Nurse Practitioner 1170 N Solano Dr Ste A, Las Cruces, NM 88001-2371 2007-02-19
1245329697 Barbara R Salas Nurse Practitioner 1424 Second Street, Santa Fe, NM 87505-3485 2006-10-12
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Competitor

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City ROSWELL
Zip Code 88203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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