Provider Demographics
NPI:1770202988
Name:NYAIRO, JUDITH NYANCHERA (APRN,PMHNP)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:NYANCHERA
Last Name:NYAIRO
Suffix:
Gender:F
Credentials:APRN,PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1908 CHICORY LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-3234
Mailing Address - Country:US
Mailing Address - Phone:817-323-0159
Mailing Address - Fax:
Practice Address - Street 1:1908 CHICORY LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-3234
Practice Address - Country:US
Practice Address - Phone:817-323-0159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1090477363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health