Individual
EVELINE NYASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 CROSS TIMBERS DR, PROSPER, TX 75078-8617
(651) 587-8981
Mailing address
1720 CROSS TIMBERS DR, PROSPER, TX 75078-8617
(651) 587-8981
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
877313
TX
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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