Provider Demographics
NPI:1942077920
Name:NJAGI, JEFF MWAI (LP61072648)
Entity Type:Individual
Prefix:
First Name:JEFF
Middle Name:MWAI
Last Name:NJAGI
Suffix:
Gender:M
Credentials:LP61072648
Other - Prefix:
Other - First Name:JEFF
Other - Middle Name:MWAI
Other - Last Name:RUGAITA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LP61072648
Mailing Address - Street 1:13606 E 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-2421
Mailing Address - Country:US
Mailing Address - Phone:713-922-6768
Mailing Address - Fax:
Practice Address - Street 1:11406 E FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-4687
Practice Address - Country:US
Practice Address - Phone:509-926-1031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP61072648164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse