Individual
VIRGINIA MWENDE MBALUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 SWARNER RD, UNIT 130, KING OF PRUSSIA, PA 19406
(610) 510-4881
Mailing address
150 SWARNER RD, UNIT 130, KING OF PRUSSIA, PA 19406
(610) 510-4881
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP025788
PA
Other
Enumeration date
06/27/2022
Last updated
08/01/2023
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