Healthcare Provider Details

I. General information

NPI: 1538532999
Provider Name (Legal Business Name): CATHERINE NJOROGE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2015
Last Update Date: 09/14/2023
Certification Date: 09/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 S 1ST AVE
COVINA CA
91723-2603
US

IV. Provider business mailing address

212 S 1ST AVE
COVINA CA
91723-2603
US

V. Phone/Fax

Practice location:
  • Phone: 316-519-7754
  • Fax:
Mailing address:
  • Phone: 316-519-7754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95256322
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: