Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AGNES JERUTO MAMBOLEO
ActiveAGNES JERUTO MAMBOLEO is a Licensed Practical Nurse healthcare provider located in FORT WORTH, Texas. NPI 1750926630 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · FORT WORTH, TX
Registration Details
- NPI Number
- 1750926630
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 14, 2019 (6.7386885676058 yrs)
- Last Updated
- Nov 14, 2019
- License
-
LP35237 (MD)
Practice Information
- Address
-
4921 WOODMEADOW DRFORT WORTH, TX, 761351824Browse TX providers · Browse ZIP 76135
- Phone
- 3012046081
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH ARMSTRONG | — | 1336576669 |
| NOEMI XOCHICALE | — | 1669822326 |
| DOROTHY HOLLOWAY | — | 1194213561 |
| ELIZABETH ESTHER MUGWANYA | — | 1497234520 |
| MORRISSA LANGSTON | — | 1891337028 |
| SECRET KUNKLE | LVN | 1417593054 |
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.