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NPI Code Detail

MEDICARE: TWAAMBO SITUMBEKO RN, FNP

MEDICARE: TWAAMBO SITUMBEKO RN, FNP
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 Practitioner71006672AIN

General Provider Information

NPI Number : 1689121915
Entity Type Code : Individual
Provider Name (Legal Business Name) : TWAAMBO SITUMBEKO RN, FNP
Provider Business Mailing Address
First Line : 5317 E 16TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46218-4897
Country : US
Telephone Number : 317-552-0670
Fax Number : 317-354-8192
Provider Business Practice Location Address
First Line : 5317 E 16TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46218-4897
Country : US
Telephone Number : 317-552-0670
Fax Number : 317-354-8192
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2016
Last Update Date : 03/24/2022

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