Provider Demographics
NPI:1679106272
Name:MENDOZA, LAARNI CATUDAN (FNP-C)
Entity type:Individual
Prefix:
First Name:LAARNI
Middle Name:CATUDAN
Last Name:MENDOZA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1724 W US HIGHWAY 82 STE 100
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-7037
Mailing Address - Country:US
Mailing Address - Phone:469-590-8072
Mailing Address - Fax:
Practice Address - Street 1:1382 LOMALAND DR STE B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-5204
Practice Address - Country:US
Practice Address - Phone:469-590-8072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-21
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145234363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily