Provider Demographics
NPI: | 1558835835 |
---|---|
Name: | MUNGAI, MARGARET WANGECI (CRNP) |
Entity type: | Individual |
Prefix: | MRS |
First Name: | MARGARET |
Middle Name: | WANGECI |
Last Name: | MUNGAI |
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: | 2589 DANIELS LN |
Mailing Address - Street 2: | |
Mailing Address - City: | QUAKERTOWN |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 18951-5075 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 610-730-2510 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2029 WESTGATE DR |
Practice Address - Street 2: | |
Practice Address - City: | BETHLEHEM |
Practice Address - State: | PA |
Practice Address - Zip Code: | 18017-7412 |
Practice Address - Country: | US |
Practice Address - Phone: | 610-730-2510 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2019-01-19 |
Last Update Date: | 2023-12-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PA | SP019334 | 363L00000X, 363LP2300X, 363LF0000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
No | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Primary Care |