Healthcare Provider Details

I. General information

NPI: 1407455496
Provider Name (Legal Business Name): EDWARD MWAURA KARANJA APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2020
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 S CLAIRBORNE RD STE 201
OLATHE KS
66062-1744
US

IV. Provider business mailing address

9121 SCHWEIGER CT APT 257
LENEXA KS
66219-2126
US

V. Phone/Fax

Practice location:
  • Phone: 913-210-0835
  • Fax:
Mailing address:
  • Phone: 316-308-5415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-79666-071
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: