Individual provider · Type 1 NPI

Victoria Mankuburigi Mate-Kole, NURSE PRACTITIONER

Acute Care Nurse Practitioner · Piedmont, OK

NPI number 1154834828 Active

Practice location

11816 NW 134th St
Piedmont, OK 73078-3004

Mailing address

921 NE 13th St
Oklahoma City, OK 73104-5007

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XR0095325 (OK)

Acute Care Nurse Practitioner: Definition to come...

About NPI 1154834828

Victoria Mankuburigi Mate-Kole, NURSE PRACTITIONER's National Provider Identifier is 1154834828, issued on Nov 15, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Piedmont, OK. The record was last updated on May 10, 2025.