Provider Demographics
NPI:1780910414
Name:MUYA, EDDAH WANJIKU (FNP)
Entity type:Individual
Prefix:MRS
First Name:EDDAH
Middle Name:WANJIKU
Last Name:MUYA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 CYPRESS TRCE
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35244-5401
Mailing Address - Country:US
Mailing Address - Phone:205-481-1532
Mailing Address - Fax:
Practice Address - Street 1:5800 CYPRESS TRCE
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35244-5401
Practice Address - Country:US
Practice Address - Phone:205-481-1532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-31
Last Update Date:2009-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-104576363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily