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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MERVIN K NTABA

Active Sole Proprietor

MR. MERVIN K NTABA is a Licensed Practical Nurse healthcare provider located in GLENDALE, Wisconsin. NPI 1578885323 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · GLENDALE, WI

Registration Details

NPI Number
1578885323
Provider Type
Individual
Gender
Male
NPI Issued
Feb 22, 2010 (16.473618152193 yrs)
Last Updated
Feb 22, 2010
License
309706-031 (WI)
Sole Proprietor
Yes

Practice Information

Address
5211 N MOHAWK AVE
GLENDALE, WI, 532175022
Browse WI providers · Browse ZIP 53217
Phone
4144053133
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in GLENDALE, WI

Name Credential NPI
THEODORE ALEXANDER 1033233143
ARETHA MICHELLE JOHNSON L.P.N 1831488303
MISS CICEL RENEE YOUNG LPN 1023302726
TREMONE JOYNER 1649696543
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.