Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WATSON KAMBENJA
Active Sole ProprietorWATSON KAMBENJA is a Gerontological Nurse Practitioner healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1720969181 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · SOUTH LAKE TAHOE, CA
Registration Details
- NPI Number
- 1720969181
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 10, 2025 (0.74456413697032 yrs)
- Last Updated
- Sep 10, 2025
- License
-
95036777 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
PO BOX 7899SOUTH LAKE TAHOE, CA, 961580899Browse CA providers · Browse ZIP 96158
- Phone
- 9166440951
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
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.