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

Nicole Danielle Mansour, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1689486003

Nicole Danielle Mansour, FNP-BC is a Nurse Practitioner in Corrales, New Mexico. Qualified in 2024, 2 years ago. Practices with Blooming Cactus Wellness, LLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
2
Licensed in
NM
In the registry since
2025
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

3949 Corrales Rd Ste 105
Corrales, NM 87048-9347
Phone: (949) 820-1743
Fax: (847) 221-6782
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 82459 (NM)

Record details

NPI number1689486003
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedJanuary 22, 2025
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Blooming Cactus Wellness, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Corrales