Basic Information
| Provider Information | |||||||||
| NPI: | 1104268481 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MUREITHI | ||||||||
| FirstName: | WANJIKU | ||||||||
| MiddleName: | KAREKIA | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 507 VININGS OAKS RUN | ||||||||
| Address2: | |||||||||
| City: | MABLETON | ||||||||
| State: | GA | ||||||||
| PostalCode: | 301267240 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 507 VININGS OAKS RUN | ||||||||
| Address2: | |||||||||
| City: | MABLETON | ||||||||
| State: | GA | ||||||||
| PostalCode: | 301267240 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4042654000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2013 | ||||||||
| LastUpdateDate: | 07/22/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/22/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | ARNP 9364302 | FL | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | 367500000X | GA191810 | GA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.