Healthcare Provider Details

I. General information

NPI: 1881503704
Provider Name (Legal Business Name): DIGNUS MIRUS MEDICAL CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8905 W POST RD STE 110
LAS VEGAS NV
89148-2429
US

IV. Provider business mailing address

3535 EXECUTIVE TERMINAL DR STE 110
HENDERSON NV
89052-4269
US

V. Phone/Fax

Practice location:
  • Phone: 725-677-5226
  • Fax: 702-745-2121
Mailing address:
  • Phone: 725-677-5226
  • Fax: 702-745-2121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. ANGELA J MCLENDON
Title or Position: PRESIDENT
Credential: FNP-C
Phone: 702-419-0607