Provider Demographics
NPI:1619364379
Name:NDUNGU, HELLEN N (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:HELLEN
Middle Name:N
Last Name:NDUNGU
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 SANDALWOOD DR APT 2
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-3540
Mailing Address - Country:US
Mailing Address - Phone:484-620-3500
Mailing Address - Fax:
Practice Address - Street 1:22202 BULVERDE RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78261-3080
Practice Address - Country:US
Practice Address - Phone:210-497-0353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-21
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128005363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily