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MBOMBO MUTAMBAIE NPI 1215411988


NPI Information

NPI: 1215411988
Provider Name: MBOMBO MUTAMBAIE
Classification: Licensed Vocational Nurse - 164X00000X
Entity Type: Individual
Address:
1822 SOTOGRANDE BLVD APT 1403
HURST, TX
ZIP 76053
Phone: (817) 939-0987
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Mbombo Mutambaie is a licensed vocational nurse in Hurst, TX. The provider is a licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. Mbombo Mutambaie NPI is 1215411988. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1822 SOTOGRANDE BLVD APT 1403
HURST, TX
ZIP 76053-838
Phone: (817) 939-0987

The enumeration date for this NPI number is 9/19/2018 and was last updated on 9/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164X00000XLicensed Vocational Nurse187138TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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