Provider Demographics
NPI:1841889565
Name:KARANJA, ALICE WAITHIRA (RN)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:WAITHIRA
Last Name:KARANJA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4365 MCLAUGHLIN AVE APT 12
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-5900
Mailing Address - Country:US
Mailing Address - Phone:310-904-8658
Mailing Address - Fax:
Practice Address - Street 1:4365 MCLAUGHLIN AVE APT 12
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-5900
Practice Address - Country:US
Practice Address - Phone:310-904-8658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-17
Last Update Date:2021-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA678771163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse