Healthcare Provider Details

I. General information

NPI: 1114674769
Provider Name (Legal Business Name): MERCY MUKUHI NJOKI, WANJIRU ND-NURSE DELEGATION
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MERCY M NJOKI

II. Dates (important events)

Enumeration Date: 03/03/2022
Last Update Date: 03/07/2022
Certification Date: 03/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9903 23RD AVENUE CT S # APPTI142
TACOMA WA
98444-7726
US

IV. Provider business mailing address

9903 23RD AVENUE CT S # APPTI142
TACOMA WA
98444-7726
US

V. Phone/Fax

Practice location:
  • Phone: 770-369-5450
  • Fax:
Mailing address:
  • Phone: 770-369-5450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number60973648
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: