Individual provider · Type 1 NPI
Nicole Danielle Mansour, FNP-BC
Family Nurse Practitioner · Corrales, NM
NPI number
1689486003
Active
Practice location
3949 Corrales Rd Ste 105
Corrales, NM 87048-9347
Fax (847) 221-6782
Mailing address
2318 Garden Rd NE
Rio Rancho, NM 87124-2431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 82459 (NM) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Corrales
About NPI 1689486003
Nicole Danielle Mansour, FNP-BC's National Provider Identifier is 1689486003, issued on Jan 22, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Corrales, NM. The record was last updated on Apr 30, 2026.