Individual provider · Type 1 NPI
Mirabel Tibuji Mambo
Psychiatric/Mental Health Nurse Practitioner · Elk River, MN
NPI number
1639888092
Active
Practice location
19097 Baldwin St NW
Elk River, MN 55330-2813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 9433 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Elk River
About NPI 1639888092
Mirabel Tibuji Mambo's National Provider Identifier is 1639888092, issued on Nov 15, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Elk River, MN. The record was last updated on Nov 15, 2022.