Mamboh Yufenyuy, NP
NPI 1104174531 · Adult Health Nurse Practitioner · Duluth, GA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mamboh Yufenyuy, NP is a Adult Health Nurse Practitioner provider in Duluth, GA (NPI 1104174531).
Provider details
- NPI number
- 1104174531
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 17691 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-08-15
- Last updated
- 2022-04-12
- Certified
- 2022-04-12
Frequently asked questions
- What is Mamboh Yufenyuy's NPI number?
- Mamboh Yufenyuy's National Provider Identifier (NPI) is 1104174531, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mamboh Yufenyuy's specialty?
- Mamboh Yufenyuy is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mamboh Yufenyuy located?
- Mamboh Yufenyuy's practice location on file with NPPES is 1657 Southgate Mill Dr Nw, Duluth, GA 30096.
- What is Mamboh Yufenyuy's phone number?
- The practice phone number listed in the NPPES registry for Mamboh Yufenyuy is (678) 977-5976.
- Does Mamboh Yufenyuy accept Medicare?
- Mamboh Yufenyuy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mamboh Yufenyuy's NPI active?
- Yes — Mamboh Yufenyuy's NPI (1104174531) is active in the NPPES registry as of the last update on 2022-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.