Provider Demographics
NPI:1881585339
Name:WAWERU, JAMES KARANJA (PMHNP)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:KARANJA
Last Name:WAWERU
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 WOUNDED KNEE DR
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-1411
Mailing Address - Country:US
Mailing Address - Phone:469-396-5980
Mailing Address - Fax:
Practice Address - Street 1:520 WOUNDED KNEE DR
Practice Address - Street 2:
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-1411
Practice Address - Country:US
Practice Address - Phone:693-965-9804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1206418363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health