Provider Demographics
NPI:1790200301
Name:MUIRURI, SOPHIA NJERI (RN)
Entity Type:Individual
Prefix:
First Name:SOPHIA
Middle Name:NJERI
Last Name:MUIRURI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1606 S 253RD PL
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:WA
Mailing Address - Zip Code:98198-7820
Mailing Address - Country:US
Mailing Address - Phone:206-489-7153
Mailing Address - Fax:
Practice Address - Street 1:1606 S 253RD PL
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:WA
Practice Address - Zip Code:98198-7820
Practice Address - Country:US
Practice Address - Phone:206-489-7153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60726803163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse