Provider Demographics
NPI:1346769643
Name:GITHAIGA, CATHERINE WAMBUI (CRNP)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:WAMBUI
Last Name:GITHAIGA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 CROSSWINDS DR
Mailing Address - Street 2:
Mailing Address - City:CHARLES TOWN
Mailing Address - State:WV
Mailing Address - Zip Code:25414-3905
Mailing Address - Country:US
Mailing Address - Phone:410-274-7666
Mailing Address - Fax:
Practice Address - Street 1:814 TOLL HOUSE AVE
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4519
Practice Address - Country:US
Practice Address - Phone:301-662-8310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-18
Last Update Date:2017-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR212530363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily