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SOPHIE ENJEMA MBUA NDUMBE
NPI 1376407122
Nurse Practitioner - Gerontology in Peoria, AZ

Active since December 15, 2025
13451 N 94TH DR, PEORIA, AZ 85381(623) 303-7101 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sophie Enjema Mbua Ndumbe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOPHIE ENJEMA MBUA NDUMBE (NPI 1376407122) is an individual gerontology provider in Peoria, Arizona, licensed in Arizona (256331) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1376407122
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSOPHIE ENJEMA MBUA NDUMBE
Location Address13451 N 94TH DRPeoria, AZ 85381-5056
Mailing Address11034 W Hadley StAvondale, AZ 85323-4563 · (701) 610-8059
Phone(623) 303-7101
Sole ProprietorYes
Enumeration DateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
✔ NPI 1376407122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in AZ · 256331
13451 N 94TH DR, Peoria, AZ 85381
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TERRY L BAGLEY M.D.
Physical Medicine & Rehabilitation
13451 N 94TH DR
PEORIA, AZ 85381
Maricopa County (623) 303-7101
DR. DANIEL LOUIS LARA II M.D.
Physical Medicine & Rehabilitation
13451 N 94TH DR
PEORIA, AZ 85381
Maricopa County (623) 303-7101
REUNION REHABILITATION HOSPITAL PEORIA, LLC
Rehabilitation Hospital
13451 N 94TH DR
PEORIA, AZ 85381
Maricopa County (623) 303-7099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sophie Enjema Ndumbe's NPI number?

The NPI number for Sophie Enjema Ndumbe is 1376407122. It was assigned to this individual provider in the NPPES registry on December 15, 2025.

Where is Sophie Enjema Ndumbe located?

Sophie Enjema Ndumbe practices at 13451 N 94th Dr, Peoria, AZ 85381. The listed phone number is (623) 303-7101.

What is Sophie Enjema Ndumbe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Sophie Enjema Ndumbe was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.