Healthcare Provider Details

I. General information

NPI: 1174166599
Provider Name (Legal Business Name): JAMES MWANGI MURIGI-COINS ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2019
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6817 27TH ST W UNIT 65437
UNIVERSITY PLACE WA
98464-0509
US

IV. Provider business mailing address

6817 27TH ST W UNIT 65437
UNIVERSITY PLACE WA
98464-1437
US

V. Phone/Fax

Practice location:
  • Phone: 405-922-9276
  • Fax:
Mailing address:
  • Phone: 405-922-9276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number61589022
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60116378
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: