Provider Demographics
NPI:1043008634
Name:NYHART, MICHAEL OLIVER (MSW)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:OLIVER
Last Name:NYHART
Suffix:
Gender:
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3055 S FOUNTAIN SQUARE BLVD APT 104
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-3990
Mailing Address - Country:US
Mailing Address - Phone:913-907-5823
Mailing Address - Fax:
Practice Address - Street 1:3055 S FOUNTAIN SQUARE BLVD APT 104
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:WI
Practice Address - Zip Code:53151-3990
Practice Address - Country:US
Practice Address - Phone:913-907-5823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program