Provider Demographics
NPI:1811669229
Name:MBURU, MARGARET NJOKI
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:NJOKI
Last Name:MBURU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3607 27TH ST SE
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-1716
Mailing Address - Country:US
Mailing Address - Phone:425-387-1499
Mailing Address - Fax:
Practice Address - Street 1:3607 27TH ST SE
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374-1716
Practice Address - Country:US
Practice Address - Phone:425-387-1499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60794956163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMBURUMN186M1OtherDRIVERS LICENCE