EVELYN TETANG MAMBO


Address: 20326 Bandera Lake Ln, Richmond, TX 77407-1505
Phone: 5133285034

EVELYN TETANG MAMBO (NPI# 1528346855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528346855
Entity Type Individual
Full Name EVELYN TETANG MAMBO
Credential NP
Practice Address 20326 Bandera Lake Ln
Richmond
TX 77407-1505
Practice Telephone 5133285034
Mailing Telephone 5133280534
Enumeration Date 2011-08-03
Last Update Date 2019-11-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WM0705X Registered Nurse
Specialization: Medical-Surgical
348189 OH Nursing Service Providers
Y 363L00000X Nurse Practitioner API43791 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 11416731 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
7928 Mill Creek Cir, West Chester, OH 450695805 5133285034

Office Location

Street Address 20326 BANDERA LAKE LN
City RICHMOND
State TX
Zip Code 77407-1505

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770059883 A Bright Care LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 20326 Bandera Lake Ln, Richmond, TX 77407-1505 2018-10-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760097752 Houston Vascular Specialist Corp Radiologic Technologist 7103 S Peek Road, Richmond, TX 77407 2020-09-15
1841810660 Amieda Services LLC Registered Nurse 18302 Palisade Rock Court, Richmond, TX 77407 2020-04-22
1396392643 Tonya Staton Counselor 5830 Meadow Ranch Pkwy, Richmond, TX 77407 2019-08-21
1730732728 Tso Richmond Aliana Pa Optometrist 10117 W. Grand Parkway South, Suite 101, Richmond, TX 77407 2019-07-19
1578115275 H&a Orthodontics Dentist 16733 W Airport Blvd, Building A, Suite 2, Richmond, TX 77407 2019-07-12
1285299933 Divine Providers, Inc. Technician 18947 Pine Harvest Ln, Richmond, TX 77407 2019-05-08
1457810566 Onwueme, Pllc Clinic/Center 7324 Grand Mission Blvd, Suite #100, Richmond, TX 77407 2019-03-18
1285115758 Cz Eye Care, Pllc Optometrist 18310 West Airport, Suite 900, Richmond, TX 77407 2018-08-23
1417438821 Glory Ukadike Registered Nurse 7518 Boxwood Ridge Ln, Richmond, TX 77407 2018-08-23
1699254318 Blvd Dentistry Richmond Pllc Dentist 18320 W. Airport Rd, Suite 200, Richmond, TX 77407 2018-08-13
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962038570 Samantha Montgomery Warren Nurse Practitioner 3900 Westerre Parkway, Suite 300 Pmb# 308, Richmond, VA 23233 2020-03-15
1053956508 Ihechi Ngozi Nwosuocha Nurse Practitioner 20010 Ballinger Ridge Ct, Richmond, TX 77407-4057 2019-11-07
1154976314 Amanda Piper Nurse Practitioner 2200 Pump Rd Ste 200, Richmond, VA 23233-3539 2019-08-05
1083273676 Winifred Onyali Nurse Practitioner 11222 Oudney Ct, Richmond, TX 77407-1883 2019-06-07
1740759182 Houssam Mahmoud Mozeyen Nurse Practitioner 5719 Indigo Trails Dr, Richmond, TX 77469 2018-11-15
1801365168 Rosmond Adams Oberry Nurse Practitioner 7101 Jahnke Rd Ste 550s, Richmond, VA 23225-4017 2018-11-15
1780166090 Todd A Johnson Nurse Practitioner 21530 Barrett Knolls Dr, Richmond, TX 77406-5300 2018-09-04
1053892844 Christina Lack Nurse Practitioner 5855 Bremo Rd Ste 208, Richmond, VA 23226-1922 2018-08-28
1073002580 Oyebola Temitope Oyekan Nurse Practitioner 7615 Northfork Hollow Ln, Richmond, TX 77407-2285 2018-05-09
1851897763 Eno Ubaha Nurse Practitioner 17102 Winter Hedge Ct, Richmond, TX 77407-2602 2018-04-02
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Competitor

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City RICHMOND
Zip Code 77407

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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