Provider Demographics
NPI:1932543436
Name:WAWERU, SLYVIA MUTHONI (CRNP)
Entity Type:Individual
Prefix:
First Name:SLYVIA
Middle Name:MUTHONI
Last Name:WAWERU
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:MUTHONI
Other - Last Name:WAWERU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP
Mailing Address - Street 1:825 OAK LEAF CIR APT C
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6038
Mailing Address - Country:US
Mailing Address - Phone:205-807-3564
Mailing Address - Fax:
Practice Address - Street 1:1300 BESSEMER RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35208-4326
Practice Address - Country:US
Practice Address - Phone:205-428-9179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-26
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-112253363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily