Provider Demographics
NPI:1265279285
Name:MWANIKI, MONICA WAIRIMU (RN)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:WAIRIMU
Last Name:MWANIKI
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36277 WAXEN RD
Mailing Address - Street 2:
Mailing Address - City:LAKE ELSINORE
Mailing Address - State:CA
Mailing Address - Zip Code:92532-2565
Mailing Address - Country:US
Mailing Address - Phone:725-201-8560
Mailing Address - Fax:
Practice Address - Street 1:36277 WAXEN RD
Practice Address - Street 2:
Practice Address - City:LAKE ELSINORE
Practice Address - State:CA
Practice Address - Zip Code:92532-2565
Practice Address - Country:US
Practice Address - Phone:725-201-8560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-09
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95351975163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse