Individual
MOURINE J NYANGORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
5900 ROCHE DR STE 260B, COLUMBUS, OH 43229-3272
(614) 448-7614
(614) 686-2933
Mailing address
4416 BERTHSTONE DR, COLUMBUS, OH 43231-8721
(614) 475-8476
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0030090
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
00030090
OH
Other
Enumeration date
10/16/2014
Last updated
11/21/2024
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