Provider Demographics
NPI:1245905819
Name:NJIRU, PAMELA MUKAMI (APRN)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:MUKAMI
Last Name:NJIRU
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:284 E LAKE MEAD PKWY STE C
Mailing Address - Street 2:# 261
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-6433
Mailing Address - Country:US
Mailing Address - Phone:702-685-7700
Mailing Address - Fax:702-629-7800
Practice Address - Street 1:3201 S MARYLAND PKWY STE 512
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2427
Practice Address - Country:US
Practice Address - Phone:702-685-7700
Practice Address - Fax:702-629-7800
Is Sole Proprietor?:No
Enumeration Date:2021-08-15
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV845342363LF0000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine