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NPI Code Detail

MEDICARE: MARTHA MWALE MULENGA

MEDICARE: MARTHA MWALE MULENGA
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 PractitionerRNP280586AZ

General Provider Information

NPI Number : 1265154371
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA MWALE MULENGA
Provider Business Mailing Address
First Line : 11 E ORANGE GROVE RD APT 1723
Second Line :
City : TUCSON
State : AZ
Zip : 85704-5525
Country : US
Telephone Number : 856-885-3059
Fax Number :
Provider Business Practice Location Address
First Line : 8405 W ALAMEDA AVE
Second Line :
City : LAKEWOOD
State : CO
Zip : 80226-2908
Country : US
Telephone Number : 720-547-9162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2022
Last Update Date : 12/17/2025

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Directions to “ MARTHA MWALE MULENGA ” Practice Location

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