Provider Demographics
NPI:1235649757
Name:NJOKI-MWANGI, BETZY (RN)
Entity Type:Individual
Prefix:
First Name:BETZY
Middle Name:
Last Name:NJOKI-MWANGI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27816 WHITTINGTON RD
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584-7890
Mailing Address - Country:US
Mailing Address - Phone:951-301-6534
Mailing Address - Fax:
Practice Address - Street 1:27816 WHITTINGTON RD
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-7890
Practice Address - Country:US
Practice Address - Phone:951-301-6534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-10
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA527427163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse