Provider Demographics
NPI:1033380944
Name:NJAGI, CATHERINE M (RN)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:M
Last Name:NJAGI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5139 EMERALD LAKES BLVD
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-7528
Mailing Address - Country:US
Mailing Address - Phone:614-209-2123
Mailing Address - Fax:
Practice Address - Street 1:4800 N STATE RD 7 F103
Practice Address - Street 2:SUITE A
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33319-5811
Practice Address - Country:US
Practice Address - Phone:954-884-5859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-19
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11032626363LP0808X
OH338834163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse