Provider Demographics
NPI:1205594678
Name:ASPEL, MANDY ELIZABETH (FNP)
Entity type:Individual
Prefix:
First Name:MANDY
Middle Name:ELIZABETH
Last Name:ASPEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1921
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-0037
Mailing Address - Country:US
Mailing Address - Phone:760-885-0257
Mailing Address - Fax:
Practice Address - Street 1:16143 KOKANEE RD
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-1355
Practice Address - Country:US
Practice Address - Phone:760-242-6442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC52278207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology