| Doctor Name: | JAMES C NDUNGU |
| NPI Number: | 1144570342 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNP |
| License Number: | SP012372 |
| Business Practice Address: | 446 N Reading Rd Suite 301 Ephrata, PA - 175229802 |
| Business Phone Number: | 7177336546 |
| Business Fax Number: | 7177336010 |
| Mailing Address: | 446 N Reading Rd, Suite 301 EPHRATA |
| State: | PA |
| Postal Code: | 175229802 |
| Phone Number: | 7177336546 |
| Fax Number: | 7177336010 |
| NPI Enumeration Date: | 09/14/2012 |
| NPI Last Update Date: | 12/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP012372 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |