Provider Demographics
NPI:1942570320
Name:MOJA NURSING STAFF
Entity Type:Organization
Organization Name:MOJA NURSING STAFF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WAITHERA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MWANGI-BRAXTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:919-603-3880
Mailing Address - Street 1:4540 SUGAR MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-6856
Mailing Address - Country:US
Mailing Address - Phone:919-603-3880
Mailing Address - Fax:919-603-3880
Practice Address - Street 1:4540 SUGAR MAPLE RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-6856
Practice Address - Country:US
Practice Address - Phone:919-603-3880
Practice Address - Fax:919-603-3880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC150932251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care