MARYANNE WAMBUI MIRIE RN NPI 1407405657

NPI Information

NPI: 1407405657
Provider Name: MARYANNE WAMBUI MIRIE, RN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
22800 28TH AVE S
DES MOINES, WA
ZIP 98198
Phone: (206) 407-4435
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Maryanne Wambui Mirie, RN is a psychiatric/mental health nurse practitioner in Des Moines, WA. Maryanne Wambui Mirie, RN NPI is 1407405657. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

22800 28TH AVE S
DES MOINES, WA
ZIP 98198-439
Phone: (206) 407-4435

The enumeration date for this NPI number is 9/10/2019 and was last updated on 4/26/2024.

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
1	163W00000X	Registered Nurse		RN60724733	WASHINGTON	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP61557447	WASHINGTON	Yes

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: 4/28/2024

NPI Synchronization or Removal

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