Individual
MOSES N MBUGUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2713 LANCASTER AVE, WILMINGTON, DE 19805-5220
(302) 656-2348
(302) 656-0746
Mailing address
156 S STATE ST, DOVER, DE 19901-7314
(302) 674-2380
(302) 674-1299
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-0000153
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AN-0012590
ADVANCED PRACTICE CSR
DE
01
—
L8-0000153
PSYCH/MENTAL HEALTH NP
DE
Enumeration date
06/19/2007
Last updated
02/12/2018
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