Individual provider · Type 1 NPI
Bob Idris Mutebi
General Practice Registered Nurse · Lathrop, CA
NPI number
1134076441
Active
Practice location
18245 Millbrook Ave
Lathrop, CA 95330-9234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 95045550 (CA) |
General Practice Registered Nurse: Definition to come...
Another provider at this address
Other general practice registered nurse providers in Lathrop
About NPI 1134076441
Bob Idris Mutebi's National Provider Identifier is 1134076441, issued on Mar 16, 2026. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Lathrop, CA. The record was last updated on Mar 16, 2026.