Provider Demographics
NPI:1568140259
Name:WABERA, MARGARET WAIRIMU
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:WAIRIMU
Last Name:WABERA
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 1:619 GLENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-8648
Mailing Address - Country:US
Mailing Address - Phone:919-452-7818
Mailing Address - Fax:
Practice Address - Street 1:619 GLENWOOD DR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-8648
Practice Address - Country:US
Practice Address - Phone:919-452-7818
Practice Address - Fax:919-774-7705
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator