Provider Demographics
NPI:1447071196
Name:MUKUHI, LEONARD NGUGI (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:LEONARD
Middle Name:NGUGI
Last Name:MUKUHI
Suffix:
Gender:M
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 CECIL CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-1203
Mailing Address - Country:US
Mailing Address - Phone:260-804-1433
Mailing Address - Fax:
Practice Address - Street 1:4100 CECIL CT
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-1203
Practice Address - Country:US
Practice Address - Phone:260-804-1433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37415363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health