Healthcare Provider Details

I. General information

NPI: 1184189391
Provider Name (Legal Business Name): BEATRICE NYOKABI NJOROGE NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2019
Last Update Date: 02/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22880 WHELAN LN
BOYDS MD
20841-9011
US

IV. Provider business mailing address

14009 TRIADELPHIA RD
GLENELG MD
21737-9730
US

V. Phone/Fax

Practice location:
  • Phone: 240-328-4588
  • Fax:
Mailing address:
  • Phone: 918-812-7725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR188857
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: