Provider Demographics
NPI:1881742039
Name:NYAOSI, DAVID NYAMARI (PRESIDENT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:NYAMARI
Last Name:NYAOSI
Suffix:
Gender:M
Credentials:PRESIDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9730 37TH PL N
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55441-1884
Mailing Address - Country:US
Mailing Address - Phone:763-205-3388
Mailing Address - Fax:
Practice Address - Street 1:9730 37TH PL N
Practice Address - Street 2:SUITE 201
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-1884
Practice Address - Country:US
Practice Address - Phone:763-205-3388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)