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NPI Code Detail

MEDICARE: PETER KARERA NDUNGI FNP

MEDICARE:   PETER KARERA NDUNGI  FNP
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
1363LF0000XFamily Nurse PractitionerAP60938195WA
2363LP2300XPrimary Care Nurse PractitionerAP138403TX

General Provider Information

NPI Number : 1972072510
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER KARERA NDUNGI FNP
Provider Business Mailing Address
First Line : 6926 NE FOURTH PLAIN BLVD
Second Line :
City : VANCOUVER
State : WA
Zip : 98661-7254
Country : US
Telephone Number : 360-993-3000
Fax Number :
Provider Business Practice Location Address
First Line : 6926 NE FOURTH PLAIN BLVD
Second Line :
City : VANCOUVER
State : WA
Zip : 98661-7254
Country : US
Telephone Number : 360-993-3000
Fax Number : 360-993-3000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2018
Last Update Date : 01/07/2026

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Directions to “ PETER KARERA NDUNGI FNP” Practice Location

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