Provider Demographics
NPI:1699268425
Name:KARIUKI, ANNE MUGI
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:MUGI
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 1:30056 PENROSE LN
Mailing Address - Street 2:
Mailing Address - City:CASTAIC
Mailing Address - State:CA
Mailing Address - Zip Code:91384-4566
Mailing Address - Country:US
Mailing Address - Phone:661-236-8986
Mailing Address - Fax:661-257-2914
Practice Address - Street 1:30056 PENROSE LN
Practice Address - Street 2:
Practice Address - City:CASTAIC
Practice Address - State:CA
Practice Address - Zip Code:91384-4566
Practice Address - Country:US
Practice Address - Phone:661-236-8986
Practice Address - Fax:661-257-2914
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-06
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA560438163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty