BONIFACE NDUNGU GITAU


Address: 6003 E Bayley St, Wichita, KS 67218-3505
Phone: 3162533776

BONIFACE NDUNGU GITAU (NPI# 1023658663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023658663
Entity Type Individual
Full Name BONIFACE NDUNGU GITAU
Credential PMHNP
Practice Address 6003 E Bayley St
Wichita
KS 67218-3505
Practice Telephone 3162533776
Enumeration Date 2020-01-12
Last Update Date 2020-01-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
53-79184-112 KS Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
53-79184 KS Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6003 E BAYLEY ST
City WICHITA
State KS
Zip Code 67218-3505

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1124460787 Teri Kitchen Social Worker 3414 Kinkaid, Wichita, KS 67218 2013-07-24
1053660142 Glenda Rodgers-lawless, Ph.d., Lcpc, Pa Community/Behavioral Health 4601 E Douglas, Wichita, KS 67218 2012-09-05
1649541848 Stephen Rhinehart Registered Nurse 5500 E Kellogg Dr., Wichita, KS 67218 2012-01-19
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083262695 Andrea Michelle Rogers Nurse Practitioner 7829 E Rockhill St Ste 105, Wichita, KS 67206-3919 2019-08-27
1487132171 Kristal Lynn Lang Nurse Practitioner 7570 W 21st St, Suite 1026d, Wichita, KS 67205-1764 2018-08-03
1114334067 Jane Crawford Nurse Practitioner 8623 E 32nd St N, Wichita, KS 67226 2014-07-11
1134375280 Susan Mileham Nurse Practitioner 1660 N Tyler Rd Ste A, Wichita, KS 67212-4918 2008-08-08
1174657225 Anderson Family Health, Inc. Nurse Practitioner 2808 E Central Ave, Wichita, KS 67214-4707 2007-03-14
1780765438 Arian A Riordan Nurse Practitioner 8901 E Orme St, Wichita, KS 67207-2473 2006-10-18
1508962945 Ana Sarra Ahrens Nurse Practitioner 1919 N Amidon Ave Ste 317, Wichita, KS 67203-2120 2006-09-15
1598760381 Paula Skinner Nurse Practitioner 934 N Water St, Wichita, KS 67203-3838 2005-06-17
1245234723 Kathleen A Barrett Nurse Practitioner 347 S Laura St, Wichita, KS 67211-1518 2005-06-13
1386648871 Kristi S Dutton Speer Nurse Practitioner 9333 E 21st St N, Wichita, KS 67206-2927 2005-06-13
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Competitor

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City WICHITA
Zip Code 67218

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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