Individual provider · Type 1 NPI

Ernestine Mambo

Family Nurse Practitioner · Anoka, MN

NPI number 1801240205 Active

Practice location

3301 7th Ave
Anoka, MN 55303-4516

Mailing address

13100 Bittersweet St NW
Minneapolis, MN 55448-1210

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XCNP4350 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1801240205

Ernestine Mambo's National Provider Identifier is 1801240205, issued on Apr 21, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Anoka, MN. The record was last updated on Apr 25, 2017.