Individual provider · Type 1 NPI
Grace Gombe Munthali, APRN, NP, RN
Psychiatric/Mental Health Nurse Practitioner · Fulton, MO
NPI number
1770949406
Active
Practice location
600 E 5th St
Fulton, MO 65251-1753
Other practice locations
- 227 Metro Dr, Jefferson City, MO 65109-1134 · (888) 403-1071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 2010002416 (MO) |
| Family Nurse Practitioner | 363LF0000X | 2015025656 (MO) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2018012589 (MO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1770949406
Grace Gombe Munthali, APRN, NP, RN's National Provider Identifier is 1770949406, issued on Jan 11, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fulton, MO. The record was last updated on Jul 2, 2019.