IndividualActive
Alice Wambaa
NPI 1104517846 · General Practice Registered Nurse · Moorpark, CA
Provider details
- NPI number
- 1104517846
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 683956 (CA)
Mailing address
11906 Silver Crest St
Moorpark, CA 93021-3186
Registry dates
- Enumerated
- 2023-05-15
- Last updated
- 2023-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.