Provider Demographics
NPI:1639187958
Name:KARIMI, RUTH WANGARI
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:WANGARI
Last Name:KARIMI
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:RUTH
Other - Middle Name:
Other - Last Name:MUANDA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:15 ROGERS STREET
Mailing Address - Street 2:1
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401
Mailing Address - Country:US
Mailing Address - Phone:845-338-2347
Mailing Address - Fax:845-338-2347
Practice Address - Street 1:88 FOX HOLLOW ROAD
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572
Practice Address - Country:US
Practice Address - Phone:845-876-3738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2677071164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse