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EVELYN TETANG MAMBO NP
NPI 1528346855
Nurse Practitioner in Richmond, TX

Active since August 03, 2011
20326 BANDERA LAKE LN, RICHMOND, TX 77407(513) 328-5034 Get Directions Write a Review

NPPES record last updated: November 11, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Evelyn Tetang Mambo Np NPPES

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

EVELYN TETANG MAMBO NP (NPI 1528346855) is an individual nurse practitioner in Richmond, Texas, licensed in Texas (API43791) and active in the NPI registry since August 2011. She maintains a secondary practice location in West Chester.

NPPES Registry Identity

NPI1528346855
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameEVELYN TETANG MAMBOCredential: NP
Location Address20326 BANDERA LAKE LNRichmond, TX 77407-1505
Mailing Address20326 Bandera Lake LnRichmond, TX 77407-1505 · (513) 328-0534
Phone(513) 328-5034
Sole ProprietorNo
Enumeration DateAugust 3, 2011
Last NPPES UpdateNovember 11, 2019
✔ NPI 1528346855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · API43791
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 348189 (OH)
20326 BANDERA LAKE LN, Richmond, TX 77407
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Secondary Practice Location 1

Location 17928 Mill Creek CirWest Chester, OH 45069-5805 · Phone (513) 328-5034

Other Identifiers 1

Medicaid11416731TX

Other Providers at the Same Location NPPES

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

A BRIGHT CARE LLC
Case Management
20326 BANDERA LAKE LN
RICHMOND, TX 77407
Fort Bend County (513) 328-5034

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 Evelyn Mambo's NPI number?

The NPI number for Evelyn Mambo is 1528346855. It was assigned to this individual provider in the NPPES registry on August 3, 2011.

Where is Evelyn Mambo located?

Evelyn Mambo practices at 20326 Bandera Lake Ln, Richmond, TX 77407. The listed phone number is (513) 328-5034.

What is Evelyn Mambo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Evelyn Mambo was last updated on November 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.