Provider Demographics
NPI:1386218576
Name:KARIUKI, CATHERINE WAMBUI (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:WAMBUI
Last Name:KARIUKI
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:WAMBUI
Other - Last Name:KARIUKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AGNP-C
Mailing Address - Street 1:5205 AZTEC DR
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-2371
Mailing Address - Country:US
Mailing Address - Phone:469-237-6180
Mailing Address - Fax:
Practice Address - Street 1:5205 AZTEC DR
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-2371
Practice Address - Country:US
Practice Address - Phone:214-783-7073
Practice Address - Fax:214-308-3261
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1037036363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health