Provider Demographics
NPI:1033998455
Name:KARIUKI, NANCY W
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:W
Last Name:KARIUKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14907 13TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SPANAWAY
Mailing Address - State:WA
Mailing Address - Zip Code:98387-8855
Mailing Address - Country:US
Mailing Address - Phone:862-237-3576
Mailing Address - Fax:253-507-8053
Practice Address - Street 1:14907 13TH AVE S
Practice Address - Street 2:
Practice Address - City:SPANAWAY
Practice Address - State:WA
Practice Address - Zip Code:98387-8855
Practice Address - Country:US
Practice Address - Phone:862-237-3576
Practice Address - Fax:253-507-8053
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home