Provider Demographics
NPI:1164398426
Name:KAMAU, NAOMI N
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:N
Last Name:KAMAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13821 13TH AVE S
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98444-2094
Mailing Address - Country:US
Mailing Address - Phone:314-203-8404
Mailing Address - Fax:608-560-0158
Practice Address - Street 1:13821 13TH AVE S
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98444-2094
Practice Address - Country:US
Practice Address - Phone:314-203-8404
Practice Address - Fax:608-560-0158
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA757741376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty