MEDICARE: FLORENCE WANGARI KAMAU RN

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	RN95421967	CA

General Provider Information

NPI Number	:	1588528152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FLORENCE WANGARI KAMAU RN

Provider Business Mailing Address
First Line	:	2107 DUBLIN LN UNIT 1
Second Line	:
City	:	DIAMOND BAR
State	:	CA
Zip	:	91765-3291
Country	:	US
Telephone Number	:	480-577-0150
Fax Number	:

Provider Business Practice Location Address
First Line	:	2107 DUBLIN LN UNIT 1
Second Line	:
City	:	DIAMOND BAR
State	:	CA
Zip	:	91765-3291
Country	:	US
Telephone Number	:	480-577-0150
Fax Number	:

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

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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