Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAMIE MUKUNDI MANDELA, NURSE PRACTITIONER
Active Sole ProprietorMAMIE MUKUNDI MANDELA, NURSE PRACTITIONER is a Primary Care Nurse Practitioner healthcare provider located in CARSON, California. NPI 1831661370 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · CARSON, CA
Registration Details
- NPI Number
- 1831661370
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 21, 2018 (7.6048240948633 yrs)
- Last Updated
- Jun 14, 2019
- Licenses
-
95010871 (CA)95010871 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1413 E 218TH STCARSON, CA, 907452402Browse CA providers · Browse ZIP 90745
- Phone
- 3107025392
- Fax
- 3105182585
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Primary Care Nurse Practitioner
Other Primary Care Nurse Practitioner Providers in CARSON, CA
| Name | Credential | NPI |
|---|---|---|
| LILIAN NKIRU NDUKWE | MSN, FNP | 1750710950 |
| MRS. LESLIE ANN REYES ESPE | AGNP-C | 1093259558 |
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.