Individual provider · Type 1 NPI
Samuel Mugo
Psychiatric/Mental Health Nurse Practitioner · Seattle, WA
NPI number
1386287340
Active
Practice location
2600 SW Holden St
Seattle, WA 98126-3505
Mailing address
11536 129th St E
Puyallup, WA 98374-3145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN60044386 (WA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP61393845 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1386287340
Samuel Mugo's National Provider Identifier is 1386287340, issued on Oct 23, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Seattle, WA. The record was last updated on Feb 25, 2024.