Provider Demographics
NPI:1932851946
Name:NGUGI, HANNAH (LVN)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:NGUGI
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1379 GLEN AVE
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91768-1248
Mailing Address - Country:US
Mailing Address - Phone:919-594-9551
Mailing Address - Fax:
Practice Address - Street 1:1379 GLEN AVE
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91768-1248
Practice Address - Country:US
Practice Address - Phone:919-594-9551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-20
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA719329164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse