Provider Demographics
NPI:1841617313
Name:MUCHIRI, MICHAEL MWANGI (NP-C)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:MWANGI
Last Name:MUCHIRI
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:MR
Other - First Name:MICHAEL
Other - Middle Name:MWANGI NJERU
Other - Last Name:MUCHIRI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP-C
Mailing Address - Street 1:4131 W LOOMIS RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53221-2057
Mailing Address - Country:US
Mailing Address - Phone:414-325-7246
Mailing Address - Fax:414-325-3770
Practice Address - Street 1:1400 MADISON AVE
Practice Address - Street 2:SUITE 402
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-5473
Practice Address - Country:US
Practice Address - Phone:507-625-7246
Practice Address - Fax:507-386-2599
Is Sole Proprietor?:No
Enumeration Date:2014-03-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR180854-4363LF0000X
MNCNP2356363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily