Musa Mawanda, APRN
Nurse Practitioner, Family in Russell Springs, KY. Individual provider (NPI-1).
NPI number1073258752
StatusActive
Last updated in NPPESNov 8, 2024
Details
- NPI
- 1073258752
- Entity type
- Individual (NPI-1)
- Name
- Musa Mawanda
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2022
- Certification date
- Oct 5, 2024
- Last updated
- Nov 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4016790 | KY | Yes |
Practice location
404 Steve DriveRussell Springs, KY 42642-4622
Phone 270-866-3161 · Fax 270-866-3163
Mailing address
Po Box 1080Burkesville, KY 42717-1080
Phone 270-864-1472 · Fax 270-864-1693
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Other Family Nurse Practitioner providers in Russell Springs, KY
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- Taylor Jones, APRNNPI 1144956798
- Alisha A Knight, APRNNPI 1245570506
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All 17 Family Nurse Practitioner providers in Russell Springs · All 191 providers in Russell Springs
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