Provider Demographics
NPI:1861271199
Name:KAMAU, CATHERINE WAITHIRA (MSML, PHN, BSN, RN)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:WAITHIRA
Last Name:KAMAU
Suffix:
Gender:F
Credentials:MSML, PHN, BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2711 ASHLAND CT
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-4991
Mailing Address - Country:US
Mailing Address - Phone:510-682-1120
Mailing Address - Fax:
Practice Address - Street 1:2711 ASHLAND CT
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-4991
Practice Address - Country:US
Practice Address - Phone:510-682-1120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN639321163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice