Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maryanne Wambui Mirie, RN

Individual provider Registered Nurse · NPI 1407405657

Maryanne Wambui Mirie, RN is a Nurse Practitioner in Puyallup, Washington. Qualified in 2023, 3 years ago. Practices with Telecare Mental Health Services of Washington, Inc, a 22-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2019
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

17224 117th Ave E
Puyallup, WA 98374-9393
Phone: (206) 407-4435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3510 Steelhammer Dr, Centralia, WA 98531-1532 — (360) 623-8020

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP61557447 (WA)
Registered Nurse Taxonomy 163W00000X · Licence RN60724733 (WA)

Record details

NPI number1407405657
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedSeptember 10, 2019
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Telecare Mental Health Services Of Washington, Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Puyallup