Provider Demographics
NPI:1053129676
Name:NJERI, CHRISTOPHER WACHIRA (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:WACHIRA
Last Name:NJERI
Suffix:
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 BASTONA DR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-7106
Mailing Address - Country:US
Mailing Address - Phone:707-803-3225
Mailing Address - Fax:
Practice Address - Street 1:2220 BASTONA DR
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7106
Practice Address - Country:US
Practice Address - Phone:707-803-3225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-28
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95234033163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse