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Aishah Mandeel, NURSEPRACTITIONER
Pediatric Nurse Practitioner in Tustin, California
NPI 1063977270

Aishah Mandeel is a Pediatric Nurse Practitioner based in Victorville, CA and is specialized in Pediatrics. Aishah Mandeel practices in Tustin, CA and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Aishah Mandeel is 1063977270 and holds a License No. 95011055 (California).

The current practice location address for Aishah Mandeel is 14971 Holt Ave, Tustin, CA and can be reached out via phone at 949-356-7676.

Location: 14971 Holt Ave, Tustin, CA, 92395-8660
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063977270
Provider Name
Aishah Mandeel
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
14971 Holt Ave, Tustin, CA, 92395-8660
Phone Number
949-356-7676
Fax Number
Provider Enumeration Date
02/01/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95011055 01 CA CALIFORNIA BOARD OF REGISTERED NURSING
institution
Provider Business Practice Location Address Details
Address
14971 Holt Ave
City
Tustin
State
California
Zip
92780-3406
Phone Number
949-356-7676
Fax Number
person
Provider Business Mailing Address Details
Address
14971 Holt Ave
City
Tustin
State
California
Zip
92780-3406
Phone Number
949-356-7676
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
95011055 (California)
Definition
Definition to come...
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