Individual
ELIZABETH WAMBUI KANIARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1260 N ARENDELL AVE, ZEBULON, NC 27597-8730
(919) 235-1965
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5016706
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609503960
—
NC
Enumeration date
08/05/2022
Last updated
12/22/2023
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