Individual
KPANA MALO MENGAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PMHNP-BC
Contact information
Practice address
83 S LONGWOOD LN, CLAYTON, DE 19938-1934
(302) 373-2122
Mailing address
83 S LONGWOOD LN, CLAYTON, DE 19938-1934
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-0011057
DE
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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