Provider Demographics
NPI:1457952103
Name:MUITA, ELIZABETH WANJIKU (APRN FNP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:WANJIKU
Last Name:MUITA
Suffix:
Gender:F
Credentials:APRN FNP
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:WANJIKU
Other - Last Name:GATIMO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4206 STONEY KNOLL LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-1055
Mailing Address - Country:US
Mailing Address - Phone:832-421-4600
Mailing Address - Fax:
Practice Address - Street 1:4206 STONEY KNOLL LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-1055
Practice Address - Country:US
Practice Address - Phone:832-421-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-07
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1019040364SF0001X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health