Gloria Mandel Enterprises LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

GLORIA MANDEL ENTERPRISES LLC

Practice address

191 Mescalero TRL
Henderson, NV 89074-1037

Phone

(702) 630-9711

NPI assigned

Jul 7, 2023

Last updated

Jul 7, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gloria Mandel, APRNNPI 1528566460

Title

Sole Member

Phone

(702) 630-9711

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gloria Santiaguel Mandel, NP

  • Nurse Practitioner
  • Henderson, NV
  • NPI 1528566460
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1548948714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 MESCALERO TRL",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741037",
            "telephone_number": "702-630-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 MESCALERO TRL",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741037",
            "telephone_number": "702-630-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA MANDEL ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "702-630-9711",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.