| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ELIZABETH ANN MENDOZA | 1851980569 | 2021-01-16 |
Elizabeth Ann Mendoza is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1851980569. Registration indicates Elizabeth Ann Mendoza is a provider of access to ob/gyn services with a specialization in Other Service Providers, Midwife (Other Service Providers, Midwife) (Midwife, ) (All Other Specialties & Provider Types, ) (Midwife, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Elizabeth Ann Mendoza CPM, LM |
| Practice Office Address | 6151 E 17TH ST TUCSON, AZ US |
| Practice Office Telephone | 5208915417 |
| Mailing Address | 6151 E 17TH ST TUCSON, AZ 857114618 US |
| Business Telephone | 5208915417 |
| Code | Practice | License No State |
|---|---|---|
| 176B00000X PRIMARY | Access to OB/GYN Other Service Providers Midwife Other Service Providers Midwife Midwife All Other Specialties & Provider Types Midwife Other Service Providers | LM242
AZ |