Provider Demographics
NPI:1619744422
Name:CHEGE, SHIRLENE NJOKI
Entity Type:Individual
Prefix:
First Name:SHIRLENE
Middle Name:NJOKI
Last Name:CHEGE
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 1:25915 29TH AVE S APT B203
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-8913
Mailing Address - Country:US
Mailing Address - Phone:206-304-6784
Mailing Address - Fax:
Practice Address - Street 1:25915 29TH AVE S APT B203
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-8913
Practice Address - Country:US
Practice Address - Phone:206-304-6784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61215318376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide