Provider Demographics
NPI:1962654525
Name:RUMINJO, IRENE NYAWIRA (RN)
Entity Type:Individual
Prefix:MS
First Name:IRENE
Middle Name:NYAWIRA
Last Name:RUMINJO
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 1:10911 WOODMEADOW PKWY APT 707
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-7356
Mailing Address - Country:US
Mailing Address - Phone:972-698-0455
Mailing Address - Fax:
Practice Address - Street 1:10911 WOODMEADOW PKWY APT 707
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-7356
Practice Address - Country:US
Practice Address - Phone:972-698-0455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC151986163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency