Provider Demographics
NPI:1467974303
Name:NYAM, CHRISTABEL NGWEPEGUE (LNP)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTABEL
Middle Name:NGWEPEGUE
Last Name:NYAM
Suffix:
Gender:F
Credentials:LNP
Other - Prefix:MISS
Other - First Name:CHRISTABEL
Other - Middle Name:NGWEPEGUE
Other - Last Name:NYAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:4110 LONG ACRES DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-1640
Mailing Address - Country:US
Mailing Address - Phone:513-206-5142
Mailing Address - Fax:
Practice Address - Street 1:4110 LONG ACRES DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245
Practice Address - Country:US
Practice Address - Phone:513-206-5142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH155255164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse