Healthcare Provider Details

I. General information

NPI: 1275468357
Provider Name (Legal Business Name): CAROLYN M MUIRURI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 N 7TH AVE
SHELDON IA
51201-1235
US

IV. Provider business mailing address

408 W PARK ST
SHELDON IA
51201-1025
US

V. Phone/Fax

Practice location:
  • Phone: 714-324-5041
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number178421
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: