Provider Demographics
NPI:1770901241
Name:WARUINGE, JOSEPH
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:WARUINGE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 SKYWAY LANE
Mailing Address - Street 2:A SERENE PLACE LLC
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-2735
Mailing Address - Country:US
Mailing Address - Phone:206-913-1778
Mailing Address - Fax:206-302-2210
Practice Address - Street 1:11043 SE 270TH ST
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-7211
Practice Address - Country:US
Practice Address - Phone:206-913-1778
Practice Address - Fax:253-883-4071
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP00059842164W00000X
WARN61063140163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse