IndividualActive
Aishah Mandeel, NURSE PRACTITIONER
NPI 1063977270 · Pediatric Nurse Practitioner · Tustin, CA
Provider details
- NPI number
- 1063977270
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- Yes
- License
- 95011055 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
14971 Holt Ave
Tustin, CA 92780-3406
Phone: (949) 356-7676
Approximate (ZIP-level) locationGet directions
Mailing address
13446 Warren Pl
Victorville, CA 92395-8660
Registry dates
- Enumerated
- 2019-02-01
- Last updated
- 2023-02-24
- Certified
- 2023-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.