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

MUBANGU MADO MANDAMUNA

Active

MUBANGU MADO MANDAMUNA is a Family Nurse Practitioner healthcare provider located in CHAMPAIGN, Illinois. NPI 1588333033 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · CHAMPAIGN, IL

Registration Details

NPI Number
1588333033
Provider Type
Individual
Gender
Female
NPI Issued
Sep 8, 2021 (4.9758497163114 yrs)
Last Updated
Dec 29, 2022
Licenses
209023791 (IL)
209023791 (IL)

Practice Information

Address
201 N RANDOLPH ST
CHAMPAIGN, IL, 618203935
Browse IL providers · Browse ZIP 61820
Phone
8777266494
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in CHAMPAIGN, IL

Name Credential NPI
MS. JENNIFER LYNN STERN APN CNP 1679558985
MRS. CARMILYN RENEE LESEMANN NP 1275618373
MS. RONNIE KIM NP 1588704795
CAROLE J SCHOENE APN 1851431118
SUMMER L PARK APN 1114196904
AMY JESSUP NP 1295905214
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.