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
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | R0095325 (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.