Ernestine Mambo Valid NPI

Individual provider · Family Nurse Practitioner · Anoka, MN

NPI

1801240205

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

CNP4350 (MN)

Sex

Female

Sole proprietor

Yes

Enumerated

2016-04-21

Last updated

2017-04-25