Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Donalt Mutimura

Individual provider Nurse Practitioner · NPI 1831919299

Donalt Mutimura is a Nurse Practitioner in Utica, New York. Qualified in 2024, 2 years ago. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024

Practice location Address checks out

1450 Champlin Ave
Utica, NY 13502-3605
Phone: (315) 624-9004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 405882 (NY)

Record details

NPI number1831919299
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 11, 2024
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024
Mailing address1450 Champlin Ave, Utica, NY 13502-3605

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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