Provider Demographics
NPI:1841034212
Name:NJUGUNA, CAROLINE MUCIKU
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:MUCIKU
Last Name:NJUGUNA
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 1:1916 E 59TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98404-4407
Mailing Address - Country:US
Mailing Address - Phone:206-474-6313
Mailing Address - Fax:
Practice Address - Street 1:1916 E 59TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98404-4407
Practice Address - Country:US
Practice Address - Phone:206-474-6313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60913868374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide