Provider Demographics
NPI:1174280556
Name:NDUGIRE, ESTHER WANJIKU
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:WANJIKU
Last Name:NDUGIRE
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 1:76 BURNSIDE ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01851-1610
Mailing Address - Country:US
Mailing Address - Phone:978-962-9324
Mailing Address - Fax:
Practice Address - Street 1:76 BURNSIDE ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851-1610
Practice Address - Country:US
Practice Address - Phone:978-962-9324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-20
Last Update Date:2021-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2358972163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse