Mendez, Nicole Michelle

Mendez, Nicole Michelle is an individual health care provider with primary practice located at 249 White Mountain Dr. , Mescalero NM 88340. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Mendez, Nicole Michelle can be contacted via phone (575) 464-0016.

Contact Information

Primary practice address
249 White Mountain Dr. Mescalero NM 88340
Phone: (575) 464-0016
Fax: (575) 464-0010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1366742702
LBN Legal business name Mendez, Nicole Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2010
Last updated May 28th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366742702 NPPES
New Mexico MEDICAID 18677037

Popular Providers