Provider Demographics
NPI:1407452048
Name:MENDOZA, ADRIANA Y (APRN, PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ADRIANA
Middle Name:Y
Last Name:MENDOZA
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5625 WOODROW BEAN STE 111
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924-4143
Mailing Address - Country:US
Mailing Address - Phone:432-284-9228
Mailing Address - Fax:
Practice Address - Street 1:5625 WOODROW BEAN STE 111
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-4143
Practice Address - Country:US
Practice Address - Phone:432-284-9228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-09
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX909157163WP0808X
TX1102205363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health