Provider Demographics
NPI:1790391191
Name:MURUAKO, CHRISTIANA E
Entity Type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:E
Last Name:MURUAKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4508 CRANDALL CT
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1977
Mailing Address - Country:US
Mailing Address - Phone:240-640-8053
Mailing Address - Fax:
Practice Address - Street 1:4508 CRANDALL CT
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-1977
Practice Address - Country:US
Practice Address - Phone:240-640-8053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-21
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDA00106557Medicaid