Provider Demographics
NPI:1982350484
Name:KARANJA, REGINA MUTHONI (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:MUTHONI
Last Name:KARANJA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 28322
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-8322
Mailing Address - Country:US
Mailing Address - Phone:443-847-6118
Mailing Address - Fax:443-725-7552
Practice Address - Street 1:1702 TAYLOR AVE
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-6152
Practice Address - Country:US
Practice Address - Phone:443-467-3929
Practice Address - Fax:443-725-7552
Is Sole Proprietor?:No
Enumeration Date:2022-02-23
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR203691363LP0808X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse