Healthcare Provider Details

I. General information

NPI: 1730035981
Provider Name (Legal Business Name): POYA NYENGA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1412 NEPTUNE DR
CARTER LAKE IA
51510-1443
US

IV. Provider business mailing address

1412 NEPTUNE DR
CARTER LAKE IA
51510-1443
US

V. Phone/Fax

Practice location:
  • Phone: 531-721-6932
  • Fax:
Mailing address:
  • Phone: 531-721-6932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: