MICHAEL NDUATI MUGO CRNP- PMH NPI 1124710066

NPI Information

  • NPI: 1124710066
  • Provider Name: MICHAEL NDUATI MUGO, CRNP- PMH
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 33455 6TH AVE S STE 2C
    FEDERAL WAY, WA
    ZIP 98003
  • Phone: (253) 367-0502

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NPI Details

Michael Nduati Mugo, CRNP- PMH is a psychiatric/mental health nurse practitioner in Federal Way, WA with 4 years of experience. Michael Nduati Mugo, CRNP- PMH NPI is 1124710066. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

33455 6TH AVE S STE 2C
FEDERAL WAY, WA
ZIP 98003-074
Phone: (253) 367-0502

The NPI 1124710066 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/22/2023 and was last updated on 5/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthR164946MARYLANDNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAP61477252WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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