Individual
AGNES NDIRITU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1728 W MARINE VIEW DR STE 106, EVERETT, WA 98201-2094
(425) 339-5453
(425) 252-4441
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 339-5453
(425) 252-4441
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN2283375
MA
363L00000X
Nurse Practitioner
Primary
AP60886598
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110027968A
—
MA
Enumeration date
11/23/2015
Last updated
01/28/2020
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