Provider Demographics
NPI:1942980354
Name:GATLUAK, NYANHIAL C
Entity Type:Individual
Prefix:
First Name:NYANHIAL
Middle Name:C
Last Name:GATLUAK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 HIATT ST
Mailing Address - Street 2:
Mailing Address - City:CARTER LAKE
Mailing Address - State:IA
Mailing Address - Zip Code:51510-1210
Mailing Address - Country:US
Mailing Address - Phone:402-596-5697
Mailing Address - Fax:
Practice Address - Street 1:1114 HIATT ST
Practice Address - Street 2:
Practice Address - City:CARTER LAKE
Practice Address - State:IA
Practice Address - Zip Code:51510-1210
Practice Address - Country:US
Practice Address - Phone:402-596-5697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No374J00000XNursing Service Related ProvidersDoula