Provider Demographics
NPI:1780953935
Name:MIGWI, JOY WAMBUI (CRNP)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:WAMBUI
Last Name:MIGWI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1855 DATA DR
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-1236
Mailing Address - Country:US
Mailing Address - Phone:205-913-6070
Mailing Address - Fax:
Practice Address - Street 1:1855 DATA DR
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-1236
Practice Address - Country:US
Practice Address - Phone:205-913-6070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-104580363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health