Provider Demographics
NPI:1134983810
Name:KINYANJUI, JOYCE NJERI (LVN)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:NJERI
Last Name:KINYANJUI
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1895 MIDDLESEX ST APT 6
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01851-1142
Mailing Address - Country:US
Mailing Address - Phone:617-792-4292
Mailing Address - Fax:
Practice Address - Street 1:1895 MIDDLESEX ST APT 6
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851-1142
Practice Address - Country:US
Practice Address - Phone:617-792-4292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN68942164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse