person
Mrs. Mutengwana Kasapu-mwaba
Family Nurse Practitioner in Joliet, Illinois
NPI 1619480696

Mutengwana Kasapu-mwaba is a Family Nurse Practitioner based in Atlanta, IL and is specialized in Family. Mutengwana Kasapu-mwaba practices in Joliet, IL. The NPI Number for Mutengwana Kasapu-mwaba is 1619480696 and holds a License No. 209.016680 (Illinois).

The current practice location address for Mutengwana Kasapu-mwaba is 2025 S Chicago St, Joliet, IL and can be reached out via phone at 815-726-2200.

Location: 2025 S Chicago St, Joliet, IL, 30374-6721
person
Provider Profile Details
NPI Number
1619480696
Provider Name
Mutengwana Kasapu-mwaba
Credential
Provider Entity Type
Individual
Gender
Female
Address
2025 S Chicago St, Joliet, IL, 30374-6721
Phone Number
815-726-2200
Fax Number
Provider Enumeration Date
11/13/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2025 S Chicago St
City
State
Zip
60436-3172
Phone Number
815-726-2200
Fax Number
person
Provider Business Mailing Address Details
Address
2025 S Chicago St
City
State
Zip
60436-3172
Phone Number
815-726-2200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209.016680 (Illinois)
Definition
Definition to come...
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