Provider Demographics
NPI:1790498558
Name:MCLENDON, ANGELA (FNP-C)
Entity Type:Individual
Prefix:MISS
First Name:ANGELA
Middle Name:
Last Name:MCLENDON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 CIELO ABIERTO WAY UNIT 212
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-5852
Mailing Address - Country:US
Mailing Address - Phone:702-285-0298
Mailing Address - Fax:
Practice Address - Street 1:160 CIELO ABIERTO WAY UNIT 212
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-5852
Practice Address - Country:US
Practice Address - Phone:702-285-0298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-26
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV862419363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily