Ndiritu, Agnes

Ndiritu, Agnes is an individual health care provider with primary practice located at 1728 W Marine View Dr Ste 106 , Everett WA 98201-2094. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ndiritu, Agnes can be contacted via phone (425) 339-5453.

Contact Information

Primary practice address
1728 W Marine View Dr Ste 106 Everett WA 98201-2094
Phone: (425) 339-5453
Fax: (425) 252-4441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN2283375 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60886598 Washington

Profile Details

NPI number 1184098576
LBN Legal business name Ndiritu, Agnes
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2015
Last updated Jan 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184098576 NPPES
Massachusetts MEDICAID 110027968A

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