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

Alyssa-Reece Mangonon Ganotisi

Individual provider Specialist · NPI 1033045497

Alyssa-Reece Mangonon Ganotisi is a Specialist in N las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2026

Practice location Address checks out

5413 Pride Mountain St
N las Vegas, NV 89031-7850
Phone: (808) 517-7942
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NV)

Record details

NPI number1033045497
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 22, 2026
Last updated in NPPESJune 22, 2026
Certification dateJune 11, 2026

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