Healthcare Provider Details

I. General information

NPI: 1578047973
Provider Name (Legal Business Name): MOSES KARIUKI NJOKI CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: SAME AS ABOVE SAME AS ABOVE SAME AS ABOVE

II. Dates (important events)

Enumeration Date: 09/20/2018
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

669 BEL AIR RD # 1061
BEL AIR MD
21014-4306
US

IV. Provider business mailing address

1213 KIRBY CIR
BEL AIR MD
21015-5685
US

V. Phone/Fax

Practice location:
  • Phone: 443-804-4781
  • Fax:
Mailing address:
  • Phone: 443-804-4781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR201094
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License NumberR201094
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR201094
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: