Provider Demographics
NPI:1437876802
Name:KIHONGE, ANNIE-CHARITY WANJIKU
Entity Type:Individual
Prefix:
First Name:ANNIE-CHARITY
Middle Name:WANJIKU
Last Name:KIHONGE
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 1:1748 BATHGATE CT
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-6228
Mailing Address - Country:US
Mailing Address - Phone:206-434-8339
Mailing Address - Fax:
Practice Address - Street 1:1748 BATHGATE CT
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-6228
Practice Address - Country:US
Practice Address - Phone:206-434-8339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95306093163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95306093OtherREGISTERED NURSE