Individual
MARTHA WAHU MBURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
15416 205TH AVE E, BONNEY LAKE, WA 98391-5568
(574) 707-5898
Mailing address
15416 205TH AVE E, BONNEY LAKE, WA 98391-5568
(574) 707-5898
(253) 448-7411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61267437
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223599901
—
WA
01
—
RN61267437
DOH
WA
Enumeration date
01/28/2018
Last updated
08/26/2025
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