Provider Demographics
NPI:1275017253
Name:NDERITU, BERNICE
Entity type:Individual
Prefix:
First Name:BERNICE
Middle Name:
Last Name:NDERITU
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 1:3.2 B KIVULINI HOUSE
Mailing Address - Street 2:TATE CLOSE, KITISURU
Mailing Address - City:NAIROBI
Mailing Address - State:NAIROBI
Mailing Address - Zip Code:00200
Mailing Address - Country:KE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3.2 B KIVULINI HOUSE
Practice Address - Street 2:TATE CLOSE, KITISURU
Practice Address - City:NAIROBI
Practice Address - State:NAIROBI
Practice Address - Zip Code:00200
Practice Address - Country:KE
Practice Address - Phone:415-625-6570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-17
Last Update Date:2024-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
A2626108OtherFOREIGN PASSPORT