Provider Demographics
NPI:1992193494
Name:KARIUKI, JANE WAITHIRA (RN)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:WAITHIRA
Last Name:KARIUKI
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 1:84 GERRI DR
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-1212
Mailing Address - Country:US
Mailing Address - Phone:508-446-4050
Mailing Address - Fax:
Practice Address - Street 1:84 GERRI DR
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-1212
Practice Address - Country:US
Practice Address - Phone:508-446-4050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-06
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN237627163WM0705X, 163WC0400X, 163WP0808X, 163WH0200X, 163WD0400X, 163WH1000X, 163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health