Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Marie Mendivil, CNP

Individual provider Adult Health Nurse Practitioner · NPI 1992541502

Lisa Marie Mendivil, CNP is a Nurse Practitioner in Tucson, Arizona. Qualified in 2024, 2 years ago. Practices with Vanguard Mobile Physicians PLLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

5390 E Erickson Dr
Tucson, AZ 85712-2822
Phone: (520) 314-1545
Fax: (520) 300-7326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 300002 (AZ)

Record details

NPI number1992541502
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJuly 2, 2024
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Vanguard Mobile Physicians Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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