Individual
MICHAEL NDUATI MUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP- PMH
Contact information
Practice address
33455 6TH AVE S STE 2C, FEDERAL WAY, WA 98003-6074
(253) 367-0502
Mailing address
9715 DAVISON RD, MIDDLE RIVER, MD 21220-3884
(443) 835-8678
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61477252
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R164946
MD
Other
Enumeration date
05/22/2023
Last updated
05/08/2025
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