Individual provider · Type 1 NPI

Tabitha Wanjiku, NP

Nurse Practitioner · Villa Rica, GA

NPI number 1699130500 Active

Practice location

101 Quartz Dr Ste 103B
Villa Rica, GA 30180-3201

Call (770) 812-3530 Map

Fax (770) 812-3531

Mailing address

75 Grandview Ln
Powder Springs, GA 30127-8706

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN-NP177708 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1699130500

Tabitha Wanjiku, NP's National Provider Identifier is 1699130500, issued on Dec 18, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Villa Rica, GA. The record was last updated on Dec 15, 2025.