Provider Demographics
NPI:1730943259
Name:MWAURA, ANASTASIA NJAMBI
Entity type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:NJAMBI
Last Name:MWAURA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 17TH ST NW
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98371-3971
Mailing Address - Country:US
Mailing Address - Phone:253-202-5012
Mailing Address - Fax:
Practice Address - Street 1:825 17TH ST NW
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-3971
Practice Address - Country:US
Practice Address - Phone:253-202-5012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty