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Individual

MR. JOEL A NYAENYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
4828 LOOP CENTRAL DR STE 100, HOUSTON, TX 77081-2212
(713) 979-3800
Mailing address
14106 SPRING BIRCH LN, PEARLAND, TX 77584-4223
(832) 207-0646

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1021456
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2019074632
ANCC
Enumeration date
11/26/2021
Last updated
11/26/2021
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