Individual provider · Type 1 NPI
Ilunga Katambwa, NP
Psychiatric/Mental Health Nurse Practitioner · St. Louis, MO
NPI number
1104400837
Active
Practice location
1621 N 1st St
St. Louis, MO 63102-1299
Mailing address
1841 Lunenburg Dr
St. Peters, MO 63376-8166
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2023035006 (MO) |
| Family Nurse Practitioner | 363LF0000X | 2021016520 (MO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104400837
Ilunga Katambwa, NP's National Provider Identifier is 1104400837, issued on May 10, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Louis, MO. The record was last updated on Jan 13, 2024.