Provider Demographics
NPI:1588224216
Name:NYARINGO, JOSEPH LISTER
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:LISTER
Last Name:NYARINGO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 OVERLAND TRL STE 105
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-1319
Mailing Address - Country:US
Mailing Address - Phone:913-710-2373
Mailing Address - Fax:
Practice Address - Street 1:5021 PAY IT FORWARD DR
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82609-4487
Practice Address - Country:US
Practice Address - Phone:862-215-8744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-14
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor