Individual
EDWIN ISABOKE KARANJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
9217 STONEBANK XING, TYLER, TX 75703-0829
(903) 261-5222
Mailing address
9217 STONEBANK XING, TYLER, TX 75703-0829
(903) 261-5222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
870204
TX
363L00000X
Nurse Practitioner
1099035
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1099035
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1099035
TEXAS STATE BOARD OF NURSING
TX
Enumeration date
10/31/2018
Last updated
02/09/2023
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