Provider Demographics
NPI:1447142898
Name:WAIGURU, MERCY WAMBUI (HCA)
Entity type:Individual
Prefix:
First Name:MERCY
Middle Name:WAMBUI
Last Name:WAIGURU
Suffix:
Gender:F
Credentials:HCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 DOGWOOD ST SE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-2738
Mailing Address - Country:US
Mailing Address - Phone:253-904-5920
Mailing Address - Fax:
Practice Address - Street 1:1415 DOGWOOD ST SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-2738
Practice Address - Country:US
Practice Address - Phone:253-904-5920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA758260372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion