Individual provider · Type 1 NPI
Michael Gumbo, RN
Psychiatric/Mental Health Nurse Practitioner · Mount Clemens, MI
NPI number
1902334584
Active
Practice location
127 North Ave
Mount Clemens, MI 48043-9717
Mailing address
44695 Bayview Ave Apt 4304
Clinton Township, MI 48038-1592
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704273339 (MI) |
| Registered Nurse | 163W00000X | 4704273339 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1902334584
Michael Gumbo, RN's National Provider Identifier is 1902334584, issued on May 26, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mount Clemens, MI. The record was last updated on Aug 17, 2026.