Individual provider · Type 1 NPI
Paul Mayombola, AGACNP
Acute Care Nurse Practitioner · Dallas, TX
NPI number
1902283534
Active
Practice location
3500 Gaston Ave
Dallas, TX 75246-2017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | AP127876 (TX) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1902283534
Paul Mayombola, AGACNP's National Provider Identifier is 1902283534, issued on May 4, 2015. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Dallas, TX. The record was last updated on Apr 5, 2022.