NYANYIWA VIMBA


Address: 2500 E Van Buren St, Phoenix, AZ 85008
Phone: 6026853100

NYANYIWA VIMBA (NPI# 1528584547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528584547
Entity Type Individual
Full Name NYANYIWA VIMBA
Practice Address 2500 E Van Buren St
Phoenix
AZ 85008
Mailing Address Po Box 52109
Phoenix
AZ 85072-2109
Practice Telephone 6026853100
Mailing Telephone 6026853100
Enumeration Date 2017-08-22
Last Update Date 2019-01-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 5009803 NC Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
219411 AZ Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2500 E Van Buren St, Phoenix, AZ 85008 6026853100
501 Billingsley Rd, Charlotte, NC 282111009 7044442322

Office Location

Street Address 2500 E VAN BUREN ST
City PHOENIX
State AZ
Zip Code 85008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538170162 State of Arizona Pharmacy 2500 E Van Buren St, Phoenix, AZ 85008-6037 2006-08-10
1447873732 State of Arizona State Dept of Finance Community Based Residential Treatment Facility, Mental Illness 2500 E Van Buren St, Phoenix, AZ 85008-6037 2020-05-21
1073068078 Justin P Dennery Nurse Practitioner 2500 E Van Buren St, Phoenix, AZ 85008-6037 2016-08-19
1932467727 Justin Randal Mickey Nurse Practitioner 2500 E Van Buren St, Phoenix, AZ 85008-6037 2012-04-30
1255628525 Sergio Boris Chavez Psychiatry & Neurology 2500 E Van Buren St, Phoenix, AZ 85008-6037 2011-07-07
1518280734 Viana Garcia Jackson Counselor 2500 E Van Buren St, Phoenix, AZ 85008-6037 2010-03-02
1891928636 Sheldon Epstein General Practice 2500 E Van Buren St, Phoenix, AZ 85008-6037 2009-08-27
1366675324 Conchita Tee Internal Medicine 2500 E Van Buren St, Phoenix, AZ 85008-6037 2009-08-25
1548493547 Richard Rowe Family Medicine 2500 E Van Buren St, Phoenix, AZ 85008-6037 2009-08-25
1649403759 Harold E Whitney Family Medicine 2500 E Van Buren St, Phoenix, AZ 85008-6037 2009-08-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821607060 Am Apnea and Tmj LLC Durable Medical Equipment & Medical Supplies 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 2020-07-23
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1942840145 Cana Behavior LLC Physical Therapist 2412 N 36 Pl, Phoenix, AZ 85008 2020-01-15
1871158188 Fred Gardezy Student in an Organized Health Care Education/Training Program Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 2019-05-02
1225692346 Navkaran Singh Girgla Student in an Organized Health Care Education/Training Program 2601 East Roosevelt St., Phoenix, AZ 85008 2019-04-24
1316412323 Southwest Human Developement Early Intervention Provider Agency 2850 N 24h Street, Phoenix, AZ 85008 2018-10-05
1558885970 Mona Ridhwan Ziems Midwife 1919 N 31st St, Phoenix, AZ 85008 2017-07-27
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215536479 Yolanda D Baugh Nurse Practitioner 2625 W Piedmont Rd, Phoenix, AZ 85041-9540 2020-10-20
1306450960 Williamsconsultant Com LLC Nurse Practitioner 2303 N 44th St Ste 12-1043, Phoenix, AZ 85008-2442 2020-09-01
1912515305 Victory Health Solution LLC Nurse Practitioner 9132 W Hubbell St, Phoenix, AZ 85037-4377 2020-07-21
1700494374 Vanessa Moe Nurse Practitioner 42949 N Voyage Trl, Phoenix, AZ 85086-8040 2020-07-20
1043838527 Latasha Lynne Freeman Nurse Practitioner 1919 E Thomas Rd Bldg 5th, Phoenix, AZ 85016-7710 2020-07-10
1861019416 Gayle Cecilia Bachelier Nurse Practitioner 2302 N Central Ave Unit 303, Phoenix, AZ 85004-1373 2020-06-30
1871119156 Ashlyn Tellers Nurse Practitioner 21438 N 33rd Ave, Phoenix, AZ 85027-2241 2020-06-22
1770109605 Hannah Carita Jurekovic-byrd Nurse Practitioner 5727 N 7th St Ste 308, Phoenix, AZ 85014-5817 2020-06-16
1578188025 Joseph Medlin Nurse Practitioner 915 N 52nd St Apt 2010, Phoenix, AZ 85008-7934 2020-06-10
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Competitor

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City PHOENIX
Zip Code 85008

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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