Individual
NEVAID LUKE NYAGWANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2530 MERIDIAN PKWY STE 115, DURHAM, NC 27713-5273
(704) 360-3637
Mailing address
122 GATEWAY BLVD STE C, MOORESVILLE, NC 28117-5544
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
218638
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5017839
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/03/2022
Last updated
05/11/2023
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