Individual provider · Type 1 NPI

Edith Marie Mendoza, NP

Psychiatric/Mental Health Nurse Practitioner · Southlake, TX

NPI number 1720713969 Active

Practice location

2485 E Southlake Blvd Ste 100
Southlake, TX 76092-6687

Call (817) 873-0590 Map

Fax (817) 873-0591

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP1088173 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1720713969

Edith Marie Mendoza, NP's National Provider Identifier is 1720713969, issued on Jul 21, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Southlake, TX. The record was last updated on Jul 21, 2022.