Provider Demographics
NPI:1700028107
Name:NYINAKU, GIFTY A (LPN)
Entity Type:Individual
Prefix:MRS
First Name:GIFTY
Middle Name:A
Last Name:NYINAKU
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 VALLEY STREAM DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-2932
Mailing Address - Country:US
Mailing Address - Phone:571-224-2660
Mailing Address - Fax:
Practice Address - Street 1:315 VALLEY STREAM DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-2932
Practice Address - Country:US
Practice Address - Phone:571-224-2660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-31
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL2-0009259164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse