Provider Demographics
NPI:1154646354
Name:KARINJA, MARIE FRANCES (APRN)
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:FRANCES
Last Name:KARINJA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 WESTFIELD AVE STE D
Mailing Address - Street 2:
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-2432
Mailing Address - Country:US
Mailing Address - Phone:732-758-0532
Mailing Address - Fax:732-758-0859
Practice Address - Street 1:138 WESTFIELD AVE STE D
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-2432
Practice Address - Country:US
Practice Address - Phone:732-758-0532
Practice Address - Fax:732-758-0859
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NCO06766100364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health