Healthcare Provider Details

I. General information

NPI: 1861840027
Provider Name (Legal Business Name): WAIRIMU NJOROGE M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2016
Last Update Date: 05/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 NW 8TH ST SUITE #105
HOMESTEAD FL
33030-4452
US

IV. Provider business mailing address

10862 SW 242ND ST
HOMESTEAD FL
33032-5160
US

V. Phone/Fax

Practice location:
  • Phone: 305-246-0210
  • Fax: 305-246-0310
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: