MEDICARE: JANE WANJIKU WARUIRU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	454257	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	TY639688	OTHER	OH	DRIVER LICENSE

General Provider Information

NPI Number	:	1588188320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE WANJIKU WARUIRU

Provider Business Mailing Address
First Line	:	3174 JETSTREAM DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-8802
Country	:	US
Telephone Number	:	614-218-3653
Fax Number	:

Provider Business Practice Location Address
First Line	:	3174 JETSTREAM DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-8802
Country	:	US
Telephone Number	:	614-218-3653
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2017
Last Update Date	:	10/11/2025

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