Healthcare Provider Details

I. General information

NPI: 1437508637
Provider Name (Legal Business Name): DINAH NYANKEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2016
Last Update Date: 06/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10809 WESTWOOD LOOP APT 630
SAN ANTONIO TX
78254-5400
US

IV. Provider business mailing address

10809 WESTWOOD LOOP APT 630
SAN ANTONIO TX
78254-5400
US

V. Phone/Fax

Practice location:
  • Phone: 210-854-6658
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number2013022057
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: