Mendoza, Selene
Mendoza, Selene is an individual health care provider with primary practice located at 1161 Mall Dr Ste. C, Las Cruces NM 88011-8193. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mendoza, Selene can be contacted via phone (575) 522-2330.Contact Information
Primary practice address
1161 Mall Dr Ste. C
Las Cruces NM 88011-8193
Phone: (575) 522-2330
Fax: (575) 522-2344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | CNP01102 | New Mexico |
Profile Details
| NPI number | 1366659161 |
|---|---|
| LBN Legal business name | Mendoza, Selene |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Oct 31st, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366659161 | NPPES |
| New Mexico | MEDICAID | 45401837 |
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