Provider Demographics
NPI:1245069954
Name:MARINGA, MARY WAMUYU
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:WAMUYU
Last Name:MARINGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:WAMUYU
Other - Last Name:SAWYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:134 BURKHALL ST APT 207
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-3572
Mailing Address - Country:US
Mailing Address - Phone:703-200-7471
Mailing Address - Fax:
Practice Address - Street 1:134 BURKHALL ST APT 207
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-3572
Practice Address - Country:US
Practice Address - Phone:703-200-7471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2337832163WM0705X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical