Provider Demographics
NPI:1861008732
Name:KAIRANGA, GEORGETTE MUSANASE (APRN)
Entity Type:Individual
Prefix:MS
First Name:GEORGETTE
Middle Name:MUSANASE
Last Name:KAIRANGA
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 1:9354 W 121ST TER
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-1547
Mailing Address - Country:US
Mailing Address - Phone:913-709-5450
Mailing Address - Fax:
Practice Address - Street 1:9354 W 121ST TER
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-1547
Practice Address - Country:US
Practice Address - Phone:913-709-5450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-16
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-79622-122363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health