Individual provider · Type 1 NPI
Mahawa Mbalu Kagbo, FNP
Family Nurse Practitioner · Burke, VA
NPI number
1659649655
Active
Practice location
5864 Wood Flower Ct
Burke, VA 22015-2713
Fax (703) 504-7662
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 0001169930 (VA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1659649655
Mahawa Mbalu Kagbo, FNP's National Provider Identifier is 1659649655, issued on Dec 5, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Burke, VA. The record was last updated on Dec 5, 2011.