MEDICARE: MS. MARIE FRANCES KARINJA A.P.R.N.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SP0808X	Psychiatric/Mental Health Clinical Nurse Specialist	26NCO06766100	NJ

General Provider Information

NPI Number	:	1154646354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIE FRANCES KARINJA A.P.R.N.

Provider Business Mailing Address
First Line	:	138 WESTFIELD AVE STE D
Second Line	:
City	:	CLARK
State	:	NJ
Zip	:	07066-2432
Country	:	US
Telephone Number	:	732-758-0532
Fax Number	:	732-758-0859

Provider Business Practice Location Address
First Line	:	138 WESTFIELD AVE STE D
Second Line	:
City	:	CLARK
State	:	NJ
Zip	:	07066-2432
Country	:	US
Telephone Number	:	732-758-0532
Fax Number	:	732-758-0859

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2010
Last Update Date	:	03/30/2010

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