Individual
JANE WANJIRA MWANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, PMHNP
Contact information
Practice address
5610 HARFORD RD, BALTIMORE, MD 21214-2247
(443) 600-0181
Mailing address
449 HOPKINS LANDING DR, ESSEX, MD 21221-2229
(443) 600-0181
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R166138
MD
363LF0000X
Family Nurse Practitioner
R166138
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R166138
MD
Other
Enumeration date
08/06/2013
Last updated
08/06/2021
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