Provider Demographics
NPI:1417516519
Name:NYANGAU, PACIFICAH (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:PACIFICAH
Middle Name:
Last Name:NYANGAU
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2129 FM 2920 RD STE 171
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-3671
Mailing Address - Country:US
Mailing Address - Phone:281-651-8474
Mailing Address - Fax:
Practice Address - Street 1:25301 BOROUGH PARK DR STE 220
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3562
Practice Address - Country:US
Practice Address - Phone:281-651-8474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-12
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140988363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health