Individual
NELLIE WAMBUI MBOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
4012 SW FLINTROCK DR, LEES SUMMIT, MO 64082-4871
(816) 209-9237
Mailing address
4012 SW FLINTROCK DR, LEES SUMMIT, MO 64082-4871
(816) 209-9237
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2015027846
MO
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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