Provider Demographics
NPI:1043887573
Name:NJOKA, CAROLINE MURUGI
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:MURUGI
Last Name:NJOKA
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 1:24615 64TH AVE S APT B414
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-6369
Mailing Address - Country:US
Mailing Address - Phone:719-374-0123
Mailing Address - Fax:
Practice Address - Street 1:24615 64TH AVE S APT B414
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-6369
Practice Address - Country:US
Practice Address - Phone:719-374-0123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-04
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP61146872164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse