Provider Demographics
NPI:1588188320
Name:WARUIRU, JANE WANJIKU
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:WANJIKU
Last Name:WARUIRU
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 1:9220 WORTHINGTON RD APT 119
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-7264
Mailing Address - Country:US
Mailing Address - Phone:614-218-3653
Mailing Address - Fax:
Practice Address - Street 1:9220 WORTHINGTON RD APT 119
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-7264
Practice Address - Country:US
Practice Address - Phone:614-218-3653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH156013164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHTY639688OtherDRIVER LICENSE