Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | AP133665 | TX |
N | 363L00000X | Nurse Practitioner | APN.0995011-NP | CO |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP133665 | TX |
N | 363LF0000X | Nurse Practitioner - Family Medicine | APN.0995011-NP | CO |
N | 363LP2300X | Nurse Practitioner - Primary Care | AP133665 | TX |
N | 363LP2300X | Nurse Practitioner - Primary Care | APN.0995011-NP | CO |
NPI | 1063943611 |
---|---|
Provider Name | Mrs. Hortense Mbwenze Ngoe |
First Address | Denver, CO 80222-3325 |
Second Address | Golden, CO 80401-3600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2017 |
Last Update Date | 03/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PENDING | (05) | CO |