Victoria Lifuka Ndambasha, FNP
Nurse Practitioner, Family in Casa Grande, AZ. Individual provider (NPI-1).
NPI number1982196234
StatusActive
Last updated in NPPESMay 12, 2020
Details
- NPI
- 1982196234
- Entity type
- Individual (NPI-1)
- Name
- Victoria Lifuka Ndambasha
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 2, 2018
- Certification date
- May 12, 2020
- Last updated
- May 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP10685 | AZ | Yes |
Practice location
177 W Cottonwood Ln Ste 6Casa Grande, AZ 85122-2552
Phone 520-233-5905 · Fax 520-233-5910
Mailing address
177 W Cottonwood Ln Ste 6Casa Grande, AZ 85122-2552
Phone 520-233-5905 · Fax 520-233-5910
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