MUSA MAWANDA

RUSSELL SPRINGS, KY
NPI1073258752
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  4016790)
Enumeration Date2022-04-28
Last Update Date2024-11-08
Business Address
MUSA MAWANDA APRN
404 STEVE DRIVE
RUSSELL SPRINGS, KY 42642-4622
Phone number: 270-866-3161
Mailing Address
MUSA MAWANDA APRN
PO BOX 1080
BURKESVILLE, KY 42717-1080
Phone number: 270-864-1472