Provider Demographics
NPI:1194300483
Name:MURIITHI, LUCY MUTHONI
Entity type:Individual
Prefix:
First Name:LUCY
Middle Name:MUTHONI
Last Name:MURIITHI
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 1:1004 POWDER SPRINGS ST
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-5284
Mailing Address - Country:US
Mailing Address - Phone:678-913-8007
Mailing Address - Fax:
Practice Address - Street 1:1004 POWDER SPRINGS ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-5284
Practice Address - Country:US
Practice Address - Phone:678-913-8007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty