Provider Demographics
NPI:1780904458
Name:WAITUIKA, NANCY
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:WAITUIKA
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 1:5785 AVENUE CHATEAU DU NORD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-2748
Mailing Address - Country:US
Mailing Address - Phone:614-390-8560
Mailing Address - Fax:
Practice Address - Street 1:3076 MORSETOWNE CT S
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-6815
Practice Address - Country:US
Practice Address - Phone:614-599-5836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-04
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.386600163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse