Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Virtualmed PLLC

Organization Family Nurse Practitioner · NPI 1104609932

Virtualmed PLLC is a Family Nurse Practitioner in Mesa, Arizona. Works from 4 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4140 E Baseline Rd Ste 101
Mesa, AZ 85206-4413
Phone: (480) 603-8859
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1001 S Main St Ste 600, Kalispell, MT 59901-5635 — (480) 603-8859
  • 3003 32nd Ave S Ste 240, Fargo, ND 58103-6118 — (480) 603-8859
  • 30 N Gould St Ste N, Sheridan, WY 82801-6317 — (480) 603-8859

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1104609932
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mianna Gale — Owner · (480) 603-8859
Other names Virtual Med
NPI enumeratedAugust 15, 2023
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024
Mailing addressPo Box 51504, Mesa, AZ 85208-0076

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