Joyce Gathiru, RN
Individual provider Active NPI Registered Nurse · Fairbanks, AK
NPI 1639639164 · NPPES record last updated Mar 21, 2019
Key facts
- NPI
- 1639639164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 143170 (AK)
- Practice address
- 1423 Peger Rd
Fairbanks, AK 99709-5169 - Phone
- (907) 371-1300
- NPI assigned
- Mar 21, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 143170 | AK | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abantuu Aassisted Living LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 143170 | AK | Yes |
Addresses
Primary practice location
1423 Peger Rd
Fairbanks, AK 99709-5169
Mailing address
4403 Cabruan Hills Loop Apt 6
Fort Wainwright, AK 99703-1054
Phone (937) 284-1207
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2019. 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.