MR. DOMIANO MUTUKU MUSSAU RN NPI 1417567579

NPI Information

NPI: 1417567579
Provider Name: MR. DOMIANO MUTUKU MUSSAU, RN
Classification: Registered Nurse - 163WM0705X
Entity Type: Individual

Specialization: Medical-Surgical

Address:
806 AMERICAN AVE
LEMOORE, CA
ZIP 93245
Phone: (951) 496-2214
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MR. Domiano Mutuku Mussau, RN is a medical-surgical registered nurse in Lemoore, CA. MR. Domiano Mutuku Mussau, RN NPI is 1417567579. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

806 AMERICAN AVE
LEMOORE, CA
ZIP 93245-166
Phone: (951) 496-2214

The enumeration date for this NPI number is 8/4/2020 and was last updated on 8/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WM0705X	Registered Nurse	Medical-Surgical	812291	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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