Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ETHEL MBOMBOW, PA-C
ActiveMRS. ETHEL MBOMBOW, PA-C is a Physician Assistant healthcare provider located in EASTPOINTE, Michigan. NPI 1801121348 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · EASTPOINTE, MI
Registration Details
- NPI Number
- 1801121348
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 15, 2009 (16.804442769868 yrs)
- Last Updated
- Jul 29, 2015
- Licenses
-
5601005700 (MI)1088784 (MI)5601005700 (MI)
Practice Information
- Address
-
21409 KELLY RDSUITE 400EASTPOINTE, MI, 480213264Browse MI providers · Browse ZIP 48021
- Phone
- 5867770630
- Fax
- 5867770631
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Internal Medicine
Other Physician Assistant Providers in EASTPOINTE, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. CAROL P MOTT | P.A.-C. | 1942296116 |
| KATHY NICOLE COOLEY | P.A. | 1710176946 |
| MS. YVONNE WRIGHT | PA-C | 1003147224 |
| MEGAN CATHERINE BECKERICH | PA-C | 1194174821 |
| MR. BRODY A WEBSTER | PA-C | 1154805083 |
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.