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NPI Code Detail

MEDICARE: ANN SHEILA WAMBUI

MEDICARE: ANN SHEILA WAMBUI
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
1106E00000XAssistant Behavior Analyst70076162WA

General Provider Information

NPI Number : 1780479501
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN SHEILA WAMBUI
Provider Business Mailing Address
First Line : 12104 172ND STREET CT E
Second Line :
City : PUYALLUP
State : WA
Zip : 98374-4509
Country : US
Telephone Number : 253-391-4602
Fax Number :
Provider Business Practice Location Address
First Line : 12104 172ND STREET CT E
Second Line :
City : PUYALLUP
State : WA
Zip : 98374-4509
Country : US
Telephone Number : 253-440-1438
Fax Number : 253-364-1918
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2025
Last Update Date : 05/07/2026

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Directions to “ ANN SHEILA WAMBUI ” Practice Location

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