Healthcare Provider Details

I. General information

NPI: 1164336624
Provider Name (Legal Business Name): PRISCILLAH MUIGAI FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 LILLY RD NE STE 120
OLYMPIA WA
98506-5195
US

IV. Provider business mailing address

500 LILLY RD NE STE 120
OLYMPIA WA
98506-5195
US

V. Phone/Fax

Practice location:
  • Phone: 253-477-5149
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number70126282
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: