Individual provider · Type 1 NPI

Sophie Enjema Mbua Ndumbe

Gerontology Nurse Practitioner · Peoria, AZ

NPI number 1376407122 Active

Practice location

13451 N 94th Dr
Peoria, AZ 85381-5056

Call (623) 303-7101 Map

Mailing address

11034 W Hadley St
Avondale, AZ 85323-4563

Specialties and licenses

Taxonomy	Code	License
Gerontology Nurse Practitioner Primary	363LG0600X	256331 (AZ)

Gerontology Nurse Practitioner: Definition to come...

3 other providers at this address

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Daniel Louis Lara Ii, MDPhysical Medicine & Rehabilitation Physician Peoria, AZ NPI 1861847915
Terry L. Bagley, MDPhysical Medicine & Rehabilitation Physician Peoria, AZ NPI 1053365213

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About NPI 1376407122

Sophie Enjema Mbua Ndumbe's National Provider Identifier is 1376407122, issued on Dec 15, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Peoria, AZ. The record was last updated on Dec 15, 2025.