Provider Demographics
NPI:1821418591
Name:NYAGAYA-WOJNARSKI, BERTHA NYAGAYA (CRNP)
Entity Type:Individual
Prefix:
First Name:BERTHA
Middle Name:NYAGAYA
Last Name:NYAGAYA-WOJNARSKI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USAMD-AFRIMS
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96546
Mailing Address - Country:US
Mailing Address - Phone:215-789-9054
Mailing Address - Fax:
Practice Address - Street 1:14511 LAYHILL ROAD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906
Practice Address - Country:US
Practice Address - Phone:801-520-4135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-22
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1002830363L00000X
MDR154969363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner