Individual
FIDELIS MUSAU KIUNGUA
Active
Individual
FIDELIS MUSAU KIUNGUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2462942
MN
363LA2200X
Adult Health Nurse Practitioner
53-76486-051
KS
363LA2200X
Adult Health Nurse Practitioner
Primary
5731
MN
363LG0600X
Gerontology Nurse Practitioner
53-76486-051
KS
Other
Enumeration date
10/06/2014
Last updated
06/14/2019
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