Individual provider · Type 1 NPI
Mamboh Ngum Yufenyuy, NP
Adult Health Nurse Practitioner · Duluth, GA
NPI number
1104174531
Active
Practice location
1657 Southgate Mill Dr NW
Duluth, GA 30096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 17691 (TN) |
| Family Nurse Practitioner | 363LF0000X | RN188604 (GA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | RN188604 (GA) |
Adult Health Nurse Practitioner: Definition to come...
Other adult health nurse practitioner providers in Duluth
About NPI 1104174531
Mamboh Ngum Yufenyuy, NP's National Provider Identifier is 1104174531, issued on Aug 15, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Duluth, GA. The record was last updated on Apr 12, 2022.