Individual
RICHARD MARUCHA OMWENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, ARNP, PMHNP-BC
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
(425) 349-7366
Mailing address
PO BOX 3810, EVERETT, WA 98213-8810
(425) 349-6200
(425) 349-7366
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60186835
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61004258
WA
Other
Enumeration date
06/20/2011
Last updated
08/04/2023
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