Individual
ROSE MBULA MUTUNGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3500 S 4TH ST, LEAVENWORTH, KS 66048-5043
(913) 680-6000
Mailing address
7912 COLONY LN, LENEXA, KS 66215-2715
(913) 424-2446
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
144900
KS
363LF0000X
Family Nurse Practitioner
201211955
MO
Other
Enumeration date
06/06/2012
Last updated
02/10/2025
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