Ivy Wanjiru Mwaura, is a
Student In An Organized Health Care Education/training Program based in Florence, Kentucky. Ivy Wanjiru Mwaura is licensed to practice in Texas (license number 1242762) and her current practice location is
410 Meijer Dr, Florence, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(800) 343-1609.
NPI number for Ivy Wanjiru Mwaura is 1790690485 and her current mailing address is 19822 Hawkins Ridge Ln, Richmond, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790690485.
Provider's Profile
| Full Name | Ivy Wanjiru Mwaura |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 410 Meijer Dr, Florence, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790690485
- Provider Enumeration Date: 08/17/2026
- Last Update Date: 08/17/2026
Medical Identifiers
Medical identifiers for Ivy Wanjiru Mwaura such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790690485 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 1242762 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 1242762 (Texas) | 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. Ivy Wanjiru Mwaura 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 |
|---|
Ivy Wanjiru Mwaura,
19822 Hawkins Ridge Ln,
Richmond, TX 77407-3789
Ph: (713) 304-3367 | Ivy Wanjiru Mwaura,
410 Meijer Dr,
Florence, KY 41042-5128
Ph: (800) 343-1609 |
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