Provider Demographics
NPI:1033970520
Name:NJANE, SILAS KIRIGWI
Entity Type:Individual
Prefix:
First Name:SILAS
Middle Name:KIRIGWI
Last Name:NJANE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 PARKHILL PL
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-5600
Mailing Address - Country:US
Mailing Address - Phone:443-858-9570
Mailing Address - Fax:
Practice Address - Street 1:65 PARKHILL PL
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-5600
Practice Address - Country:US
Practice Address - Phone:443-858-9570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN95352626163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse