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

Mr. Ifeanyi C Madu, NURSEPRACTITIONER

Individual provider Gerontology Nurse Practitioner · NPI 1295295038

Mr. Ifeanyi C Madu, NURSEPRACTITIONER is a Nurse Practitioner in Henderson, Nevada. Qualified in 2018, 8 years ago. Practices with Great Mind Counseling and Wellness Center LLC, a 3-clinician group and works from 3 locations. Licensed in Nevada.

Years since qualifying
8
Licensed in
NV
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

390 W Lake Mead Pkwy Ste 120
Henderson, NV 89015-7417
Phone: (725) 220-8477
Fax: (833) 749-0360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 785 Calamus Palm Pl, Henderson, NV 89011-2648 — (310) 808-4346
  • 1470 E Calvada Blvd Ste 100, Pahrump, NV 89048-3906 — (775) 210-8338

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 818778 (NV)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 818778 (NV)

Record details

NPI number1295295038
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedMarch 20, 2019
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Great Mind Counseling And Wellness Center Llc — 3 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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