Provider Demographics
NPI:1316436496
Name:KARANJA, MICHELLE NJERI
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:NJERI
Last Name:KARANJA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1836 31ST AVE SE
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-6312
Mailing Address - Country:US
Mailing Address - Phone:972-903-5989
Mailing Address - Fax:
Practice Address - Street 1:909 TALLAHASSEE DR
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76208-2915
Practice Address - Country:US
Practice Address - Phone:469-233-8760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-04
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX306101164X00000X
TX945168163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164X00000XNursing Service ProvidersLicensed Vocational Nurse