Provider Demographics
NPI:1487323085
Name:KARIUKI, AMANI
Entity type:Individual
Prefix:
First Name:AMANI
Middle Name:
Last Name:KARIUKI
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 1:350 ROSEVILLE PKWY APT 20212
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-4160
Mailing Address - Country:US
Mailing Address - Phone:714-363-7028
Mailing Address - Fax:
Practice Address - Street 1:350 ROSEVILLE PKWY APT 20212
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747-4160
Practice Address - Country:US
Practice Address - Phone:714-363-7028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA793892163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse