Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | RN272086 | MA |
NPI | 1023370129 |
---|---|
Provider Name | Caroline Wanjiku Karugu |
First Address | Norton, MA 02766-3219 |
Second Address | Norton, MA 02766-3219 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2012 |
Last Update Date | 24/06/2013 |