Healthcare Provider Details

I. General information

NPI: 1528609401
Provider Name (Legal Business Name): ANN NYOKABI NJOROGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2019
Last Update Date: 10/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7637 JENNIFER LEIGH CT
RICHLAND HILLS TX
76118-5357
US

IV. Provider business mailing address

7637 JENNIFER LEIGH CT
RICHLAND HILLS TX
76118-5357
US

V. Phone/Fax

Practice location:
  • Phone: 817-968-6092
  • Fax:
Mailing address:
  • Phone: 817-968-6092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number347613
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: