Provider Demographics
NPI:1801342654
Name:WACHIRA, ZAVERIA NJOKI (APRN/NP)
Entity type:Individual
Prefix:
First Name:ZAVERIA
Middle Name:NJOKI
Last Name:WACHIRA
Suffix:
Gender:F
Credentials:APRN/NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 195697
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-8611
Mailing Address - Country:US
Mailing Address - Phone:469-684-9676
Mailing Address - Fax:
Practice Address - Street 1:2727 BOLTON BOONE DR
Practice Address - Street 2:STE 103
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2019
Practice Address - Country:US
Practice Address - Phone:972-708-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131701363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology