Mendoza, Breezy Michelle

Mendoza, Breezy Michelle is an individual health care provider with primary practice located at 10031 W Via Montoya Dr , Peoria AZ 85383-3299. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mendoza, Breezy Michelle can be contacted via phone (480) 910-3927.

Contact Information

Primary practice address
10031 W Via Montoya Dr Peoria AZ 85383-3299
Phone: (480) 910-3927
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X C-APN.0100289-C-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP61195153 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 2022000650 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP9650 Arizona

Profile Details

NPI number 1679016885
LBN Legal business name Mendoza, Breezy Michelle
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2016
Last updated May 7th, 2024 - about 4 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679016885 NPPES
Arizona MEDICAID 219432
Arizona Other Z196640

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