Provider Demographics
NPI:1285439141
Name:MUTHEE, CATHERINE WAMBUI
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:WAMBUI
Last Name:MUTHEE
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 1:1524 LYNETTE ST
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64068-9110
Mailing Address - Country:US
Mailing Address - Phone:816-517-6978
Mailing Address - Fax:
Practice Address - Street 1:1524 LYNETTE ST
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-9110
Practice Address - Country:US
Practice Address - Phone:816-517-6978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-15
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019024262163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical