Provider Demographics
NPI:1275221558
Name:MUYONGA, DIANA NGUMSINA (PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:NGUMSINA
Last Name:MUYONGA
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6611 WINDY HILLS LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-2923
Mailing Address - Country:US
Mailing Address - Phone:346-515-0145
Mailing Address - Fax:
Practice Address - Street 1:6611 WINDY HILLS LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2923
Practice Address - Country:US
Practice Address - Phone:346-515-0145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1115134363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health