Healthcare Provider Details

I. General information

NPI: 1396659629
Provider Name (Legal Business Name): WELLNESS NURSING CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3013 20TH AVENUE CT SE
PUYALLUP WA
98372-5114
US

IV. Provider business mailing address

522 W RIVERSIDE AVE STE N
SPOKANE WA
99201-0581
US

V. Phone/Fax

Practice location:
  • Phone: 253-540-6146
  • Fax:
Mailing address:
  • Phone: 253-540-6146
  • Fax: 253-904-8202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. ROBERT KINYANJUI
Title or Position: OWNER
Credential: RN,BSN
Phone: 253-540-6146