Provider Demographics
NPI:1518743129
Name:MWAI, DORIS WAMBUI (CRNP)
Entity Type:Individual
Prefix:
First Name:DORIS
Middle Name:WAMBUI
Last Name:MWAI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4943 INDIAN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-2265
Mailing Address - Country:US
Mailing Address - Phone:205-948-7893
Mailing Address - Fax:
Practice Address - Street 1:4943 INDIAN VALLEY RD
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2265
Practice Address - Country:US
Practice Address - Phone:205-948-7893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-133285363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily