Provider Demographics
NPI:1609218940
Name:KANJI, ERINA I (MSN-FNP)
Entity Type:Individual
Prefix:
First Name:ERINA
Middle Name:I
Last Name:KANJI
Suffix:
Gender:F
Credentials:MSN-FNP
Other - Prefix:
Other - First Name:ERINA
Other - Middle Name:I
Other - Last Name:MOMIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:707 S FRY RD
Mailing Address - Street 2:375
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2256
Mailing Address - Country:US
Mailing Address - Phone:281-599-8070
Mailing Address - Fax:281-599-8805
Practice Address - Street 1:707 S FRY RD
Practice Address - Street 2:375
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2256
Practice Address - Country:US
Practice Address - Phone:281-599-8070
Practice Address - Fax:281-599-8805
Is Sole Proprietor?:No
Enumeration Date:2013-07-29
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX787409363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily