Provider Demographics
NPI:1902405285
Name:MUIRU, NJAMBI NERI
Entity Type:Individual
Prefix:
First Name:NJAMBI
Middle Name:NERI
Last Name:MUIRU
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 1:1800 WILLOW SPRINGS AVE
Mailing Address - Street 2:
Mailing Address - City:COALINGA
Mailing Address - State:CA
Mailing Address - Zip Code:93210-9267
Mailing Address - Country:US
Mailing Address - Phone:310-621-6403
Mailing Address - Fax:
Practice Address - Street 1:1800 WILLOW SPRINGS AVE
Practice Address - Street 2:
Practice Address - City:COALINGA
Practice Address - State:CA
Practice Address - Zip Code:93210-9267
Practice Address - Country:US
Practice Address - Phone:310-621-6403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA627491163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical