Individual
PAMELA MUKWANJERU MIRITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4154 PROVISION PKWY APT 207, FORT WAYNE, IN 46845-0225
(615) 416-9909
Mailing address
4154 PROVISION PKWY APT 207, FORT WAYNE, IN 46845-0225
(615) 416-9909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28300576A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28300576A
UMR
IN
Enumeration date
03/13/2026
Last updated
03/13/2026
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