Healthcare Provider Details

I. General information

NPI: 1750004701
Provider Name (Legal Business Name): MARGARET WAMBUI NJIRAINI LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2022
Last Update Date: 09/23/2022
Certification Date: 09/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 121ST ST E
TACOMA WA
98445-1729
US

IV. Provider business mailing address

121 121ST ST E
TACOMA WA
98445-1729
US

V. Phone/Fax

Practice location:
  • Phone: 919-395-1330
  • Fax:
Mailing address:
  • Phone: 919-395-1330
  • 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: