Individual
NJANJA MARGARET RUENJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
MORTON COMPREHENSIVE HEALTH SERVICES, 1334 N. LASING AVE, TULSA, OK 74106-5907
(918) 587-2171
Mailing address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
(918) 295-6914
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1643
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100768880F
—
OK
05
—
100768880I
—
OK
05
—
100768880J
—
OK
01
—
37-1803
MEDICARE
OK
01
—
37-1832
MEDICARE
OK
01
—
37-1834
MEDICARE
OK
Enumeration date
03/13/2007
Last updated
06/20/2008
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