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NPI Code Detail

MEDICARE: SUSAN NJENGA CRNA

MEDICARE: SUSAN NJENGA CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistL6 0A00725DE
2367500000XCertified Registered Nurse AnesthetistAP128889TX
3367500000XCertified Registered Nurse AnesthetistAC 001552MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11356734560OTHERMDNPI

General Provider Information

NPI Number : 1356734560
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN NJENGA CRNA
Provider Business Mailing Address
First Line : 136 WESTBURY RD
Second Line :
City : LUTHERVILLE
State : MD
Zip : 21093-5542
Country : US
Telephone Number : 610-331-0204
Fax Number :
Provider Business Practice Location Address
First Line : 901 DULANEY VALLEY RD STE 220
Second Line :
City : TOWSON
State : MD
Zip : 21204-0621
Country : US
Telephone Number : 410-583-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2015
Last Update Date : 11/04/2020

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Directions to “ SUSAN NJENGA CRNA” Practice Location

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