Eddah Njoki Mbugua, RN
Individual provider Active NPI Registered Nurse · Roy, WA
NPI 1326549007 · NPPES record last updated Feb 27, 2018
Key facts
- NPI
- 1326549007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN60135236 (WA)
- Practice address
- 2618 290TH St S
Roy, WA 98580-8329 - Phone
- (253) 215-0039
- NPI assigned
- Feb 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60135236 | WA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60135236 | WA | Yes |
Addresses
Primary practice location
2618 290TH St S
Roy, WA 98580-8329
Mailing address
2618 290TH St S
Roy, WA 98580-8329
Phone (253) 215-0030
Other providers in Roy, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.