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Tara Mendietta, FNPC
Family Nurse Practitioner in Alice, Texas
NPI 1467929083

Tara Mendietta is a Family Nurse Practitioner based in Alice, TX and is specialized in Family. Tara Mendietta practices in Alice, TX and has the professional credentials of FNPC. The NPI Number for Tara Mendietta is 1467929083 and holds a License No. AP139592 (Texas).

The current practice location address for Tara Mendietta is 305 E 3Rd St, Alice, TX and can be reached out via phone at 361-664-9353 and via fax at 361-668-1630.

Location: 305 E 3Rd St, Alice, TX, 78333-0289
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467929083
Provider Name
Tara Mendietta
Credential
FNPC
Provider Entity Type
Individual
Gender
Female
Address
305 E 3Rd St, Alice, TX, 78333-0289
Phone Number
361-664-9353
Fax Number
361-668-1630
Provider Enumeration Date
11/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
305 E 3Rd St
City
Alice
State
Texas
Zip
78332-4705
Phone Number
361-664-9353
Fax Number
361-668-1630
person
Provider Business Mailing Address Details
Address
305 E 3Rd St
City
Alice
State
Texas
Zip
78332-4705
Phone Number
361-664-9353
Fax Number
361-668-1630
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP139592 (Texas)
Definition
Definition to come...
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