MIRIAM A MENDOZA NPI 1093232894

NPI Information

NPI: 1093232894
Provider Name: MIRIAM A MENDOZA
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
28W671 GARYS MILL RD
WINFIELD, IL
ZIP 60190
Phone: (630) 293-9860
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Miriam A Mendoza is a student in an organized health care education training program in Winfield, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Miriam A Mendoza NPI is 1093232894. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

28W671 GARYS MILL RD
WINFIELD, IL
ZIP 60190-564
Phone: (630) 293-9860
Fax: (630) 293-9861

The enumeration date for this NPI number is 8/23/2017 and was last updated on 7/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	390200000X	Student in an Organized Health Care Education/Training Program				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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