Provider Demographics
NPI:1942864301
Name:KARPEH, JATU SONII
Entity Type:Individual
Prefix:
First Name:JATU
Middle Name:SONII
Last Name:KARPEH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JATU
Other - Middle Name:SONII
Other - Last Name:KARPEH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:621 STEMMERS RUN RD STE B
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221-3386
Mailing Address - Country:US
Mailing Address - Phone:443-492-2300
Mailing Address - Fax:
Practice Address - Street 1:621 STEMMERS RUN RD STE B
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221-3386
Practice Address - Country:US
Practice Address - Phone:443-492-2300
Practice Address - Fax:443-559-8360
Is Sole Proprietor?:No
Enumeration Date:2019-04-30
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR183753363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily