Active NPIIndividual provider

Peninah E Waithira

Nurse Practitioner, Psych/Mental Health in Southbridge, Massachusetts

NPI Number1487301768
Practice location
29 Pine St, Southbridge, MA 01550-1823
Fax
—
Last updated
March 7, 2022

Peninah Elizabeth Waithira is a Nurse Practitioner, Psych/Mental Health based in Southbridge, MA. Peninah Elizabeth Waithira practices in Southbridge, MA. The NPI Number for Peninah Elizabeth Waithira is 1487301768 and holds a License No. RN2298837 (MA). The current practice location address for Peninah Elizabeth Waithira is 29 Pine St, Southbridge, MA 01550-1823 and can be reached out via phone at 508-765-9167.

Provider Profile Details

NPI Number
1487301768
Provider Name
Peninah Elizabeth Waithira
Provider Entity Type
Individual
Gender
Female
Address
29 Pine St, Southbridge, MA 01550-1823
Phone Number
508-765-9167
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
March 7, 2022
Last Update Date
March 7, 2022
Certification Date
February 22, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 Pine St
Southbridge, MA 01550-1823
Zip
01550-1823
Phone Number
508-765-9167
Southbridge, MA 01550Get directions →

Provider Business Mailing Address Details

Address
Po Box 40
Southbridge, MA 01550-0040
City
Southbridge
State
MA
Zip
01550-0040

License Information

License Number
RN2298837
License State
MA
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Peninah E Waithira?

The NPI number of Peninah E Waithira is 1487301768. It was assigned on March 7, 2022 and is currently active in the NPPES registry.

What is the specialty of Peninah E Waithira?

Peninah E Waithira is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2298837.

Where does Peninah E Waithira practice?

The practice location is 29 Pine St, Southbridge, MA 01550-1823. The office can be reached at 508-765-9167 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487301768 directly on the NPPES registry website.

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