Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 2019033356 | AL |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 2019033358 | AL |
NPI | 1003465279 |
---|---|
Provider Name | Emily Karanja |
First Address | Leeds, AL 35094-1290 |
Second Address | Birmingham, AL 35235-3401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2019 |
Last Update Date | 10/09/2019 |