Provider Demographics
NPI:1013558683
Name:NJOROGE, HOTENESIA (CRNP)
Entity Type:Individual
Prefix:
First Name:HOTENESIA
Middle Name:
Last Name:NJOROGE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 HALLSDALE CT
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-5009
Mailing Address - Country:US
Mailing Address - Phone:410-456-5812
Mailing Address - Fax:
Practice Address - Street 1:8 HALLSDALE CT
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-5009
Practice Address - Country:US
Practice Address - Phone:410-456-5812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR170323363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health