Individual provider · Type 1 NPI

Martha Kerubo Ombogo

Gerontology Nurse Practitioner · Maryland Heights, MO

NPI number 1871234435 Active

Practice location

12272 Creve Coeur Ridge Ct
Maryland Heights, MO 63043-1213

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X2022012281 (MO)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1871234435

Martha Kerubo Ombogo's National Provider Identifier is 1871234435, issued on Apr 6, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Maryland Heights, MO. The record was last updated on Apr 6, 2022.