Healthcare Provider Details

I. General information

NPI: 1821953183
Provider Name (Legal Business Name): CLARE AKINYI NYANGOR APNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2855 RIVER BIRCH DR UNIT C
BROOKFIELD WI
53045-3113
US

IV. Provider business mailing address

2855 RIVER BIRCH DR UNIT C
BROOKFIELD WI
53045-3113
US

V. Phone/Fax

Practice location:
  • Phone: 630-776-1235
  • Fax:
Mailing address:
  • Phone: 630-776-1235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number17839-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: