Provider Demographics
NPI:1609401892
Name:KANJI, MARIANNE MARGARET (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARIANNE
Middle Name:MARGARET
Last Name:KANJI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:MARIANNE
Other - Middle Name:MARGARET
Other - Last Name:DALTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:701 PALOMAR AIRPORT RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-1028
Mailing Address - Country:US
Mailing Address - Phone:858-333-9049
Mailing Address - Fax:800-867-5088
Practice Address - Street 1:701 PALOMAR AIRPORT RD STE 300
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-1028
Practice Address - Country:US
Practice Address - Phone:858-333-9049
Practice Address - Fax:800-867-5088
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-08
Last Update Date:2020-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA473701163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse