Provider Demographics
NPI:1609246958
Name:MUTURI, ZAKARIA (RN (ADN), BVM, MSC)
Entity Type:Individual
Prefix:DR
First Name:ZAKARIA
Middle Name:
Last Name:MUTURI
Suffix:
Gender:M
Credentials:RN (ADN), BVM, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19363 CIRCLE GATE DR
Mailing Address - Street 2:#104
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-5243
Mailing Address - Country:US
Mailing Address - Phone:240-731-8801
Mailing Address - Fax:
Practice Address - Street 1:19363 CIRCLE GATE DR
Practice Address - Street 2:#104
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-5243
Practice Address - Country:US
Practice Address - Phone:240-731-8801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1030194163WC0400X
MD210407163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical