VICTORIA LIFUKA NDAMBASHA FNP NPI 1982196234

NPI Information

NPI: 1982196234
Provider Name: VICTORIA LIFUKA NDAMBASHA, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
177 W COTTONWOOD LN STE 6
CASA GRANDE, AZ
ZIP 85122
Phone: (520) 233-5905
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Victoria Lifuka Ndambasha, FNP is a family nurse practitioner in Casa Grande, AZ. Victoria Lifuka Ndambasha, FNP NPI is 1982196234. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

177 W COTTONWOOD LN STE 6
CASA GRANDE, AZ
ZIP 85122-552
Phone: (520) 233-5905
Fax: (520) 233-5910

The NPI 1982196234 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2018 and was last updated on 5/12/2020.

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	363LF0000X	Nurse Practitioner	Family	AP10685	ARIZONA	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: 11/14/2023

NPI Synchronization or Removal

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