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NPI Code Detail

MEDICARE: DISMUS WAWERU IRUNGU FNP-C

MEDICARE:   DISMUS WAWERU IRUNGU  FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner95025677CA

General Provider Information

NPI Number : 1033896451
Entity Type Code : Individual
Provider Name (Legal Business Name) : DISMUS WAWERU IRUNGU FNP-C
Provider Business Mailing Address
First Line : 1570 N EDGEMONT ST APT 105
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-5220
Country : US
Telephone Number : 213-545-4385
Fax Number :
Provider Business Practice Location Address
First Line : 4550 PANAMA LN STE 100-200
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93313-3436
Country : US
Telephone Number : 661-631-2229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2023
Last Update Date : 06/28/2023

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Directions to “ DISMUS WAWERU IRUNGU FNP-C” Practice Location

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