MARTHA KERUBO OMBOGO NPI 1871234435

NPI Information

NPI: 1871234435
Provider Name: MARTHA KERUBO OMBOGO
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
12272 CREVE COEUR RIDGE CT
MARYLAND HEIGHTS, MO
ZIP 63043
Phone: (816) 824-1447
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Martha Kerubo Ombogo is a gerontology nurse practitioner in Maryland Heights, MO. Martha Kerubo Ombogo NPI is 1871234435. 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:

12272 CREVE COEUR RIDGE CT
MARYLAND HEIGHTS, MO
ZIP 63043-213
Phone: (816) 824-1447

The enumeration date for this NPI number is 4/6/2022 and was last updated on 4/6/2022.

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
1	363LG0600X	Nurse Practitioner	Gerontology	2022012281	MISSOURI	Yes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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