Provider Demographics
NPI:1467711010
Name:NYAKYI, LEA CATHERINE
Entity Type:Individual
Prefix:
First Name:LEA
Middle Name:CATHERINE
Last Name:NYAKYI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2262 LEWISDALE DR
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-4941
Mailing Address - Country:US
Mailing Address - Phone:240-744-2704
Mailing Address - Fax:
Practice Address - Street 1:2262 LEWISDALE DR
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-4941
Practice Address - Country:US
Practice Address - Phone:240-744-2704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide