Phyllis Njeri Wanjeru, is a
Licensed Psychiatric Technician based in Diamond Springs, California. Phyllis Njeri Wanjeru is licensed to practice in California (license number 35139) and her current practice location is
768 Pleasant Valley Rd, Diamond Springs, California. She can be reached at her office (for appointments etc.) via phone at
(530) 621-6290.
NPI number for Phyllis Njeri Wanjeru is 1629649934 and her current mailing address is 768 Pleasant Valley Rd, Diamond Springs, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629649934.
Provider's Profile
Full Name | Phyllis Njeri Wanjeru |
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Gender | Female |
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Speciality | Licensed Psychiatric Technician |
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Location | 768 Pleasant Valley Rd, Diamond Springs, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629649934
- Provider Enumeration Date: 07/07/2021
- Last Update Date: 06/30/2023
Medical Identifiers
Medical identifiers for Phyllis Njeri Wanjeru such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629649934 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | 35139 (California) | Secondary |
167G00000X | Licensed Psychiatric Technician | 35139 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Phyllis Njeri Wanjeru is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Phyllis Njeri Wanjeru, 768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 Ph: (530) 621-6290 | Phyllis Njeri Wanjeru, 768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 Ph: (530) 621-6290 |
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