Individual provider · Type 1 NPI

Nicole Mazmanian, FNP

Family Nurse Practitioner · Rancho Mirage, CA

NPI number 1972321628 Active

Practice location

72780 Country Club Dr Ste 103
Rancho Mirage, CA 92270-4150

Call (760) 779-5511 Map

Mailing address

20 Vista Mirage Way
Rancho Mirage, CA 92270-1906

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95032198 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1972321628

Nicole Mazmanian, FNP's National Provider Identifier is 1972321628, issued on Oct 1, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rancho Mirage, CA. The record was last updated on Aug 11, 2025.