Provider Demographics
NPI:1073749347
Name:GITURI, IRENE WANJIRU (RN)
Entity Type:Individual
Prefix:MRS
First Name:IRENE
Middle Name:WANJIRU
Last Name:GITURI
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 1:1527 FELTON RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-2722
Mailing Address - Country:US
Mailing Address - Phone:216-262-4304
Mailing Address - Fax:
Practice Address - Street 1:1527 FELTON RD
Practice Address - Street 2:
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121-2722
Practice Address - Country:US
Practice Address - Phone:216-262-4304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 310938163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse