Provider Demographics
NPI:1417580309
Name:MUNANJI, NICODEMUS
Entity Type:Individual
Prefix:
First Name:NICODEMUS
Middle Name:
Last Name:MUNANJI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 22ND ST NE APT 102
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3252
Mailing Address - Country:US
Mailing Address - Phone:202-344-0692
Mailing Address - Fax:
Practice Address - Street 1:902 22ND ST NE APT 102
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3252
Practice Address - Country:US
Practice Address - Phone:202-344-0692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-19
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide