Provider Demographics
NPI:1851943559
Name:ARIKA, CALEB NYAANGA (RN)
Entity Type:Individual
Prefix:
First Name:CALEB
Middle Name:NYAANGA
Last Name:ARIKA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 SAINT CHARLES DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-4068
Mailing Address - Country:US
Mailing Address - Phone:612-281-5440
Mailing Address - Fax:
Practice Address - Street 1:2701 SAINT CHARLES DR
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-4068
Practice Address - Country:US
Practice Address - Phone:612-281-5440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-12
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX941419163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse