Melanie Lynn Mendoza is a Family in Tyler, Texas. Melanie Lynn Mendoza practices all healthcare services and medical treatments related to Family. The NPI Number for Melanie Lynn Mendoza is 1508912502. The last update date is 2023-03-07.
Melanie Lynn Mendoza's current location address is 520 E. Douglas Blvd., Tyler, Texas. You can contact this provider via phone number 9035931721. The mailing address for Melanie Lynn Mendoza is 520 E. Douglas Blvd., Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melanie Lynn Mendoza |
|---|---|
| Address | 520 E. Douglas Blvd., Tyler, Texas |
| Phone Number | 9035931721 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1508912502 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 520 E. Douglas Blvd. |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 75702 |
| Phone Number | 9035931721 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 912981 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 75-2616977-007 | TX | TRICARE | |
| 573360YMAF | TX | MEDICARE | |
| 372757002 | TX | -- | |
| 8HS129 | TX | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Melanie Lynn Mendoza by the Centers for Medicare & Medicaid Services (CMS)?
The Melanie Lynn Mendoza has been assigned the NPI (National Provider Identifier) 1508912502. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Melanie Lynn Mendoza is geographically located?
The Melanie Lynn Mendoza is physically situated at the following location: 520 E. Douglas Blvd., Tyler, TX, 75702.
What is Melanie Lynn Mendoza's specialized field of practice, and what is the corresponding taxonomy classification code?
The Melanie Lynn Mendoza's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1508912502 to Melanie Lynn Mendoza?
The Centers for Medicare & Medicaid Services assigned the 1508912502 to Melanie Lynn Mendoza on 2007-01-25.
When was the information pertaining to Melanie Lynn Mendoza most recently updated or revised?
The details related to Melanie Lynn Mendoza, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.
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