Provider Demographics
NPI:1790534691
Name:KINYANJUI, MERCY WAMAITHA
Entity type:Individual
Prefix:MS
First Name:MERCY
Middle Name:WAMAITHA
Last Name:KINYANJUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MERCY
Other - Middle Name:W
Other - Last Name:KINYANJUI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RAMSEY
Mailing Address - Street 1:4638 VALLEY TERRACE CIR
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3637
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4638 VALLEY TERRACE CIRCLE
Practice Address - Street 2:N/A
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-6218
Practice Address - Country:US
Practice Address - Phone:443-798-1660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN5355325163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse