Healthcare Provider Details

I. General information

NPI: 1285410555
Provider Name (Legal Business Name): WINNIE MURIUKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2023
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2355 E CAMELBACK RD STE 625
PHOENIX AZ
85016-3458
US

IV. Provider business mailing address

2355 E CAMELBACK RD STE 625
PHOENIX AZ
85016-3458
US

V. Phone/Fax

Practice location:
  • Phone: 480-626-7584
  • Fax: 480-210-0230
Mailing address:
  • Phone: 480-626-7584
  • Fax: 480-210-0230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number2022023949
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number333142
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: