Provider Demographics
NPI:1386367480
Name:WAMBAA, RUTH WAIRIMU (CNA)
Entity type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:WAIRIMU
Last Name:WAMBAA
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:MISS
Other - First Name:RUTH
Other - Middle Name:WAIRIMU
Other - Last Name:NJOROGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA
Mailing Address - Street 1:2618 NW 28TH CIR
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-7333
Mailing Address - Country:US
Mailing Address - Phone:360-409-9726
Mailing Address - Fax:
Practice Address - Street 1:2618 NW 28TH CIR
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-7333
Practice Address - Country:US
Practice Address - Phone:360-409-9726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR202213351CNA376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide