Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 53-80774-102 | KS |
NPI | 1003560830 |
---|---|
Provider Name | Esther Nduta Waitherero |
First Address | Park City, KS 67219-2333 |
Second Address | El Dorado, KS 67042-8264 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2022 |
Last Update Date | 10/02/2022 |