Mmborothi, Faith
Mmborothi, Faith is an individual health care provider with primary practice located at 2690 Ne Kresky Ave , Chehalis WA 98532-2412. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mmborothi, Faith can be contacted via phone (360) 330-9595.Contact Information
Primary practice address
2690 Ne Kresky Ave
Chehalis WA 98532-2412
Phone: (360) 330-9595
Fax: (360) 330-9530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP60325365 | Washington |
Profile Details
| NPI number | 1366780389 |
|---|---|
| LBN Legal business name | Mmborothi, Faith |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2013 |
| Last updated | Apr 2nd, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366780389 | NPPES |
| Washington | MEDICAID | 2024810 |
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