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Mamie Mukundi Mandela, NURSEPRACTITIONER
Primary Care Nurse Practitioner in Carson, California
NPI 1831661370

Mamie Mukundi Mandela is a Primary Care Nurse Practitioner based in Carson, CA and is specialized in Primary Care. Mamie Mukundi Mandela practices in Carson, CA and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Mamie Mukundi Mandela is 1831661370 and holds a License No. 95010871 (California).

The current practice location address for Mamie Mukundi Mandela is 1413 E 218Th St, Carson, CA and can be reached out via phone at 310-702-5392 and via fax at 310-518-2585.

Location: 1413 E 218Th St, Carson, CA, 90745-2402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831661370
Provider Name
Mamie Mukundi Mandela
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
1413 E 218Th St, Carson, CA, 90745-2402
Phone Number
310-702-5392
Fax Number
310-518-2585
Provider Enumeration Date
12/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1413 E 218Th St
City
Carson
State
California
Zip
90745-2402
Phone Number
310-702-5392
Fax Number
310-518-2585
person
Provider Business Mailing Address Details
Address
1413 E 218Th St
City
Carson
State
California
Zip
90745-2402
Phone Number
310-702-5392
Fax Number
310-518-2585
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
95010871 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
95010871 (California)
Definition
Definition to come...
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