Healthcare Provider Details

I. General information

NPI: 1427902675
Provider Name (Legal Business Name): REGINA NJUGUNA RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9407 NE VANCOUVER MALL DR STE 104
VANCOUVER WA
98662-6191
US

IV. Provider business mailing address

9407 NE VANCOUVER MALL DR STE 104
VANCOUVER WA
98662-6191
US

V. Phone/Fax

Practice location:
  • Phone: 253-240-1973
  • Fax:
Mailing address:
  • Phone: 888-462-3453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60563204
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: