Provider Demographics
NPI:1215419155
Name:NJUKI, PHILOMENA WANGUI
Entity type:Individual
Prefix:MRS
First Name:PHILOMENA
Middle Name:WANGUI
Last Name:NJUKI
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 1:505 CREEK CT
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-8968
Mailing Address - Country:US
Mailing Address - Phone:469-432-0957
Mailing Address - Fax:
Practice Address - Street 1:505 CREEK CT
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-8968
Practice Address - Country:US
Practice Address - Phone:469-432-0957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX813499163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse