Provider Demographics
NPI:1508169806
Name:NGIGI, JUNE
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:
Last Name:NGIGI
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 1:3544 N PROGRESS AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-9480
Mailing Address - Country:US
Mailing Address - Phone:717-941-2230
Mailing Address - Fax:717-690-3611
Practice Address - Street 1:3544 N PROGRESS AVE STE 104
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-9480
Practice Address - Country:US
Practice Address - Phone:717-941-2230
Practice Address - Fax:717-690-3611
Is Sole Proprietor?:No
Enumeration Date:2010-12-09
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN663878163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1033488349-0001Medicaid