Provider Demographics
NPI:1063767929
Name:GITAU, FLORENCE WANJIKU (LPN)
Entity type:Individual
Prefix:MISS
First Name:FLORENCE
Middle Name:WANJIKU
Last Name:GITAU
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 PARK AVE APT 4A
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-2153
Mailing Address - Country:US
Mailing Address - Phone:978-328-6764
Mailing Address - Fax:
Practice Address - Street 1:30 PARK AVE
Practice Address - Street 2:APT.3S
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-2145
Practice Address - Country:US
Practice Address - Phone:978-328-6764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY690121163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice