MEDICARE: MOSES WAWERU KAMURI

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	291489	AZ

General Provider Information

NPI Number	:	1598455958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOSES WAWERU KAMURI

Provider Business Mailing Address
First Line	:	1858 E SOUTHERN AVE
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85282-5836
Country	:	US
Telephone Number	:	480-432-4499
Fax Number	:

Provider Business Practice Location Address
First Line	:	1858 E SOUTHERN AVE
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85282-5836
Country	:	US
Telephone Number	:	480-432-4499
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2023
Last Update Date	:	01/05/2026

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Directions to “ MOSES WAWERU KAMURI ” Practice Location

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