Mendiola, Laurie

Mendiola, Laurie is an individual health care provider with primary practice located at 3150 Carlisle Blvd Ne Ste 108 , Albuquerque NM 87110-1680. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mendiola, Laurie can be contacted via phone (505) 830-6018.

Contact Information

Primary practice address
3150 Carlisle Blvd Ne Ste 108 Albuquerque NM 87110-1680
Phone: (505) 830-6018
Fax: (505) 830-6025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R53580 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R53580 New Mexico

Profile Details

NPI number 1962422691
LBN Legal business name Mendiola, Laurie
Credentials CNP, PMHNP-BC, FNP-B
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jan 7th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962422691 NPPES
New Mexico MEDICAID 44384777

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