Provider Demographics
NPI:1689211419
Name:NYAMWEYA, FAITH MONYANGI (RN)
Entity Type:Individual
Prefix:MISS
First Name:FAITH
Middle Name:MONYANGI
Last Name:NYAMWEYA
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 1:501 E BURNSVILLE PKWY APT 303
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-2888
Mailing Address - Country:US
Mailing Address - Phone:952-846-7502
Mailing Address - Fax:
Practice Address - Street 1:501 E BURNSVILLE PKWY APT 303
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-2888
Practice Address - Country:US
Practice Address - Phone:952-846-7502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-27
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2477540163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse