Provider Demographics
NPI:1497460018
Name:NYENTY, LINDA NENJI (RN)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:NENJI
Last Name:NYENTY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13176 JEFFERSON AVE STE C, UNIT A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-1322
Mailing Address - Country:US
Mailing Address - Phone:757-571-7466
Mailing Address - Fax:
Practice Address - Street 1:13176 JEFFERSON AVE STE C
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-1322
Practice Address - Country:US
Practice Address - Phone:757-571-7466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide