Individual provider · Type 1 NPI
Ivy Wanjiru Mwaura
Student in an Organized Health Care Education/Training Program · Florence, KY
NPI number
1790690485
Active
Practice location
410 Meijer Dr
Florence, KY 41042-5128
Mailing address
19822 Hawkins Ridge Ln
Richmond, TX 77407-3789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 1242762 (TX) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 1242762 (TX) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3 other providers at this address
Other student in an organized health care education/training program providers in Florence
- Jessica Renee Barron, INTERN LPCStudent in an Organized Health Care Education/Training Program Florence, KY NPI 1528947793
- Lindsey Marie DunwoodyStudent in an Organized Health Care Education/Training Program Florence, KY NPI 1548899925
- Alexander Khoi LeStudent in an Organized Health Care Education/Training Program Florence, KY NPI 1972412823
About NPI 1790690485
Ivy Wanjiru Mwaura's National Provider Identifier is 1790690485, issued on Aug 17, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Florence, KY. The record was last updated on Aug 17, 2026.