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NPI Code Detail

MEDICARE: ANN MAMBO KURIA NP

MEDICARE: ANN MAMBO KURIA NP
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
1363LG0600XGerontology Nurse Practitioner1002045TX

General Provider Information

NPI Number : 1851857783
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN MAMBO KURIA NP
Provider Business Mailing Address
First Line : 7240 CHASE OAKS BLVD
Second Line :
City : PLANO
State : TX
Zip : 75025-5901
Country : US
Telephone Number : 844-999-0019
Fax Number : 888-678-6794
Provider Business Practice Location Address
First Line : 7240 CHASE OAKS BLVD
Second Line :
City : PLANO
State : TX
Zip : 75025-5901
Country : US
Telephone Number : 844-999-0019
Fax Number : 888-678-6794
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2019
Last Update Date : 04/21/2026

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