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NPI Code Detail

MEDICARE: HELLEN N NDUNGU NURSE PRACTITIONER

MEDICARE: HELLEN N NDUNGU NURSE PRACTITIONER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP128005TX

General Provider Information

NPI Number : 1619364379
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELLEN N NDUNGU NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 23 SANDALWOOD DR APT 2
Second Line :
City : NEWARK
State : DE
Zip : 19713-3540
Country : US
Telephone Number : 484-620-3500
Fax Number :
Provider Business Practice Location Address
First Line : 22202 BULVERDE RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78261-3080
Country : US
Telephone Number : 210-497-0353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2015
Last Update Date : 01/20/2022

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