Individual
MITHERAND NYA SEUWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4316 W 27TH LN, YUMA, AZ 85364-5680
(214) 705-5998
Mailing address
4316 W 27TH LN, YUMA, AZ 85364-5680
(214) 705-5998
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
263111
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2022
Last updated
07/22/2022
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