Provider Demographics
NPI:1295607950
Name:WAMWEA, ESTHER WAMBUI
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:WAMBUI
Last Name:WAMWEA
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 1:1511 W SABEL CT
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85144-0052
Mailing Address - Country:US
Mailing Address - Phone:404-468-2328
Mailing Address - Fax:
Practice Address - Street 1:1511 W SABEL CT
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85144-0052
Practice Address - Country:US
Practice Address - Phone:404-468-2328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN313218163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse