Individual
MS. TINA MUMBI MBATIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-FAMILY
Contact information
Practice address
50 W EDMONSTON DR STE 502, ROCKVILLE, MD 20852-1222
(301) 637-3005
Mailing address
13209 OSTERPORT DR, SILVER SPRING, MD 20906-5912
(301) 717-3554
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R163339
MD
363LF0000X
Family Nurse Practitioner
Primary
R163339
MD
Other
Enumeration date
02/15/2007
Last updated
07/21/2022
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