Individual
WINNIE MOMANYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 RAVENCLIFF RDG, GARNER, NC 27529-9261
(201) 668-7528
Mailing address
103 RAVENCLIFF RDG, GARNER, NC 27529-9261
(201) 668-7528
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5016122
NC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/22/2022
Last updated
05/16/2022
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