Provider Demographics
NPI:1811374093
Name:PAWENI, NYARAI SARAH (ND)
Entity Type:Individual
Prefix:DR
First Name:NYARAI
Middle Name:SARAH
Last Name:PAWENI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 EAST DELAWARE PLACE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-1863
Mailing Address - Country:US
Mailing Address - Phone:877-961-4419
Mailing Address - Fax:
Practice Address - Street 1:1 E DELAWARE PL
Practice Address - Street 2:SUITE 300
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-1449
Practice Address - Country:US
Practice Address - Phone:877-961-4419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-27
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath