Provider Demographics
NPI:1326826777
Name:NDICHU, JOYCE WAHINYA (RN,BSN)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:WAHINYA
Last Name:NDICHU
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6762 GAILLARDIA DR NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-2778
Mailing Address - Country:US
Mailing Address - Phone:507-398-6511
Mailing Address - Fax:
Practice Address - Street 1:6762 GAILLARDIA DR NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-2778
Practice Address - Country:US
Practice Address - Phone:507-398-6511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN231422-8163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse