Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID ETHAN MAMBU
Active Sole ProprietorDAVID ETHAN MAMBU is a Certified Nurse Anesthetist (CRNA) healthcare provider located in JACKSONVILLE, Florida. NPI 1295601516 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1295601516
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 14, 2025 (0.64911927542834 yrs)
- Last Updated
- Dec 18, 2025
- Licenses
-
APRN11044264 (FL)11044264 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2413 FALLEN TREE DR WJACKSONVILLE, FL, 322464141Browse FL providers · Browse ZIP 32246
- Phone
- 5713304633
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Nurse Practitioner
Other Certified Nurse Anesthetist (CRNA) Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| ARLES L RUSTIA | CRNA | 1699770180 |
| MS. NANCY DALTON | CRNA | 1962403964 |
| WENJING ADAMS | CRNA, APRN | 1588665863 |
| RUSSELL SCOTT AVERA | CRNA | 1730174814 |
| MRS. DONNA DORMAN SMITH | CRNA | 1386630846 |
| SUSAN KOSILLA | CRNA | 1548256274 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.