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

Tina Mandelman, APNCNP

Individual provider Pediatric Nurse Practitioner · NPI 1043639255

Tina Mandelman, APNCNP is a Pediatric Nurse Practitioner in Phoenix, Arizona. Licensed in Arizona and Illinois. Registered with an NPI since 2014.

Licensed in
AZ, IL
In the registry since
2014
Specialties on file
2

Practice location Address checks out

1300 N 48th St
Phoenix, AZ 85008-5803
Phone: (602) 243-7277
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 274213 (AZ)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 209.011209 (IL)

Record details

NPI number1043639255
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNCNP
Sole proprietorNo
NPI enumeratedApril 15, 2014
Last updated in NPPESJuly 20, 2022
Certification dateJuly 20, 2022

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