Healthcare Provider Details

I. General information

NPI: 1235733114
Provider Name (Legal Business Name): MARGARET WACHEKE WARUIRU AGACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2020
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 SUNNY CREST DR STE 2600
FULLERTON CA
92835-3644
US

IV. Provider business mailing address

1950 SUNNY CREST DR STE 2600
FULLERTON CA
92835-3644
US

V. Phone/Fax

Practice location:
  • Phone: 714-446-5590
  • Fax:
Mailing address:
  • Phone: 989-297-1593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number95021272
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: