Healthcare Provider Details

I. General information

NPI: 1801664495
Provider Name (Legal Business Name): MARIE NYATHIKA HINGA RN.RN61492483
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2023
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 S 260TH ST APT P303
DES MOINES WA
98198-9075
US

IV. Provider business mailing address

2100 S 260TH ST APT P303
DES MOINES WA
98198-9075
US

V. Phone/Fax

Practice location:
  • Phone: 702-885-2763
  • Fax:
Mailing address:
  • Phone: 702-885-2763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.RN61492483
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: