person
Mrs. Mirabel Tibuji Mambo
Psychiatric/Mental Health Nurse Practitioner in Elk River, Minnesota
NPI 1639888092

Mirabel Tibuji Mambo is a Psychiatric/Mental Health Nurse Practitioner based in Elk River, MN and is specialized in Psychiatric/Mental Health. Mirabel Tibuji Mambo practices in Elk River, MN. The NPI Number for Mirabel Tibuji Mambo is 1639888092 and holds a License No. 9433 (Minnesota).

The current practice location address for Mirabel Tibuji Mambo is 19097 Baldwin St Nw, Elk River, MN and can be reached out via phone at 763-328-4738. You can also correspond with Mirabel Tibuji Mambo through the mailing address at 19097 BALDWIN ST NW, ELK RIVER, MN - 55330-2813 (mailing address contact number: 763-328-4738).

Location: 19097 Baldwin St Nw, Elk River, MN, 55330-2813
person
Provider Profile Details
NPI Number
1639888092
Provider Name
Mirabel Tibuji Mambo
Credential
Provider Entity Type
Individual
Gender
Female
Address
19097 Baldwin St Nw, Elk River, MN, 55330-2813
Phone Number
763-328-4738
Fax Number
Provider Enumeration Date
11/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19097 Baldwin St Nw
City
State
Zip
55330-2813
Phone Number
763-328-4738
Fax Number
person
Provider Business Mailing Address Details
Address
19097 Baldwin St Nw
City
State
Zip
55330-2813
Phone Number
763-328-4738
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
9433 (Minnesota)
Definition
Definition to come...
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