CYPRINE MANDUKU


Address: 8723 Auburn Glen Ln, Houston, TX 77095-4699
Phone: 8324283007

CYPRINE MANDUKU (NPI# 1881060093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881060093
Entity Type Individual
Full Name CYPRINE MANDUKU
Practice Address 8723 Auburn Glen Ln
Houston
TX 77095-4699
Practice Telephone 8324283007
Enumeration Date 2015-08-12
Last Update Date 2015-08-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
363LG0600X TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8723 AUBURN GLEN LN
City HOUSTON
State TX
Zip Code 77095-4699

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1932517125 June Trammell Nurse Practitioner 14507 Bramblewood Dr, Houston, TX 77079-6555 2014-07-31
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Competitor

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City HOUSTON
Zip Code 77095

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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