Healthcare Provider Details

I. General information

NPI: 1033380944
Provider Name (Legal Business Name): CATHERINE M NJAGI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2008
Last Update Date: 06/20/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 N STATE RD 7 F103 SUITE A
LAUDERDALE LAKES FL
33319-5811
US

IV. Provider business mailing address

5139 EMERALD LAKES BLVD
POWELL OH
43065-7528
US

V. Phone/Fax

Practice location:
  • Phone: 954-884-5859
  • Fax:
Mailing address:
  • Phone: 614-209-2123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11032626
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number338834
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: