Provider Demographics
NPI:1780263111
Name:RUTH NYAMBURA KAREBU
Entity type:Organization
Organization Name:RUTH NYAMBURA KAREBU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:W
Authorized Official - Last Name:KAREBU
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:404-543-1467
Mailing Address - Street 1:5 APPLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17551-1301
Mailing Address - Country:US
Mailing Address - Phone:404-543-1467
Mailing Address - Fax:
Practice Address - Street 1:5 APPLEWOOD LN
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17551-1301
Practice Address - Country:US
Practice Address - Phone:404-543-1467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty