Mumbulo, Fawn Shelley

Mumbulo, Fawn Shelley is an individual health care provider with primary practice located at 1 Atwell Rd , Cooperstown NY 13326-1394. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mumbulo, Fawn Shelley can be contacted via phone (607) 547-3480.

Contact Information

Primary practice address
1 Atwell Rd Cooperstown NY 13326-1394
Phone: (607) 547-3480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F338835-1 New York

Profile Details

NPI number 1720493984
LBN Legal business name Mumbulo, Fawn Shelley
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2014
Last updated Apr 3rd, 2026 - about 7 months ago

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.

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