Provider Demographics
NPI:1619752904
Name:MWANIKI, ESTHER WANJIKU
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:WANJIKU
Last Name:MWANIKI
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 1:31500 1ST AVE S APT 19-203
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5273
Mailing Address - Country:US
Mailing Address - Phone:206-596-1995
Mailing Address - Fax:
Practice Address - Street 1:31500 1ST AVE S APT 19-203
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5273
Practice Address - Country:US
Practice Address - Phone:206-596-1995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61031431376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide