IndividualActive
Beverly Mbamala, NP
NPI 1831971035 · Acute Care Nurse Practitioner · Goodyear, AZ
Provider details
- NPI number
- 1831971035
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 240128 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
16751 W Harrison St
Goodyear, AZ 85338-2740
Phone: (313) 363-0977
Approximate (ZIP-level) locationGet directions
Mailing address
16751 W Harrison St
Goodyear, AZ 85338-2740
Registry dates
- Enumerated
- 2023-10-23
- Last updated
- 2023-10-23
- Certified
- 2023-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.