MEDICARE: DUNCAN MWANGI CNP

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
1	363LF0000X	Family Nurse Practitioner	APRN-CNP.0033309	OH
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN-CNP.0033309	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174222335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DUNCAN MWANGI CNP

Provider Business Mailing Address
First Line	:	2780 AIRPORT DR STE 100
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-2289
Country	:	US
Telephone Number	:	614-859-1906
Fax Number	:	614-645-5517

Provider Business Practice Location Address
First Line	:	3433 AGLER RD STE 2800
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-3389
Country	:	US
Telephone Number	:	614-645-1699
Fax Number	:	614-645-1347

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2023
Last Update Date	:	02/14/2026

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