Active NPIIndividual provider

Wangari Gathungu, NP

Nurse Practitioner, Primary Care in Centralia, Washington

NPI Number1902316086
Practice location
2428 W Reynolds Ave, Centralia, WA 98531-4554
Fax
360-736-3139
Last updated
October 17, 2023

Wangari Gathungu is a Nurse Practitioner, Primary Care based in Centralia, WA. Wangari Gathungu practices in Centralia, WA and has the professional credentials of NP. The NPI Number for Wangari Gathungu is 1902316086 and holds a License No. 61443470 (WA). The current practice location address for Wangari Gathungu is 2428 W Reynolds Ave, Centralia, WA 98531-4554 and can be reached out via phone at 360-330-9044 and via fax at 360-736-3139.

Provider Profile Details

NPI Number
1902316086
Provider Name
Wangari Gathungu
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2428 W Reynolds Ave, Centralia, WA 98531-4554
Phone Number
360-330-9044
Fax Number
360-736-3139
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
No
Provider Enumeration Date
October 3, 2017
Last Update Date
October 17, 2023
Certification Date
October 17, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2428 W Reynolds Ave
Centralia, WA 98531-4554
Zip
98531-4554
Phone Number
360-330-9044
Fax Number
360-736-3139
Centralia, WA 98531Get directions →

Provider Business Mailing Address Details

Address
2428 W Reynolds Ave
Centralia, WA 98531-4554
City
Centralia
State
WA
Zip
98531-4554
Phone Number
360-330-9044
Fax Number
360-736-3139

License Information

License Number (1)
61443470
License State (1)
WA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
61443891
License State (2)
WA
Taxonomy (2)
Nurse Practitioner, Primary Care · 363LP2300X · 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 Wangari Gathungu, NP?

The NPI number of Wangari Gathungu, NP is 1902316086. It was assigned on October 3, 2017 and is currently active in the NPPES registry.

What is the specialty of Wangari Gathungu, NP?

Wangari Gathungu, NP is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in WA under license number 61443470.

Where does Wangari Gathungu, NP practice?

The practice location is 2428 W Reynolds Ave, Centralia, WA 98531-4554. The office can be reached at 360-330-9044 (phone) or 360-736-3139 (fax).

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 1902316086 directly on the NPPES registry website.

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