Individual provider · Type 1 NPI

Gwendoline Mbaku, FNP

Family Nurse Practitioner · Dallas, TX

NPI number 1447624853 Active

Practice location

3133 E Lemmon Ave
Dallas, TX 75204-1411

Fax (401) 216-3854

Mailing address

15175 Palo Pinto Dr
Frisco, TX 75035-5556

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP129670 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1447624853

Gwendoline Mbaku, FNP's National Provider Identifier is 1447624853, issued on Nov 23, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Oct 7, 2016.