MR. JOHN OTWORI NYAENYA (NPI# 1710470075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710470075 |
Entity Type | Individual |
Full Name | MR. JOHN OTWORI NYAENYA |
Credential | DNP |
Practice Address |
3433 Broadway St Ne Ste 300 Minneapolis MN 55413-1761 |
Practice Telephone | 7635877737 |
Practice Fax Number | 7635877069 |
Mailing Telephone | 7635877737 |
Mailing Fax Number | 7635877069 |
Enumeration Date | 2018-06-12 |
Last Update Date | 2020-09-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 2063045 | MN | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5925 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1055 Westgate Dr, Saint Paul, MN 551141451 | 6122627800 |
Street Address |
3433 BROADWAY ST NE STE 300 |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55413-1761 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487605655 | Christa K Hoiland | Family Medicine | 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 | 2006-05-13 |
1508485970 | Christina Bricout | Nurse Practitioner | 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 | 2020-04-15 |
1033746714 | Jennifer Voss | Nurse Practitioner | 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 | 2020-03-24 |
1972153443 | Marianne Loftus | Nurse Practitioner | 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 | 2019-09-17 |
1508339326 | Samantha Giffrow | Nurse Practitioner | 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 | 2019-01-03 |
1184169542 | Stacie Straus | Nurse Practitioner | 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 | 2016-12-21 |
1780959551 | Joan S Luknic | Registered Nurse | 3433 Broadway St Ne Ste 300, Minneapolis, MN 55413-1761 | 2012-03-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295372274 | Alysia R Schwartz | Counselor | 2155 E Hennepin Ave, Minneapolis, MN 55413 | 2019-12-09 |
1427609304 | Lingguang Liu | Acupuncturist | 2021 East Hennepin Ave, Suite 412, Minneapolis, MN 55413 | 2019-09-23 |
1437708617 | Dream Home Health Care Inc | Home Health | 2021 E Hennepin Ave, Ste 190, Minneapolis, MN 55413 | 2019-09-10 |
1831746536 | Aline Care | Case Management | 1730 New Brighton Blvd Ste 300, Minneapolis, MN 55413 | 2019-08-19 |
1073171534 | Relate Nutrition & Therapy | Dietitian, Registered | 79 13th Ave Ne, Suite 103b, Minneapolis, MN 55413 | 2019-05-30 |
1740703461 | Emily Rudert | Counselor | 5407 Excelsior Blvd Suite A, B, & E, St. Louis Park, MN 55413 | 2017-07-25 |
1316305485 | Capital Transportation LLC | Non-emergency Medical Transport (VAN) | 34 13th Ave Ne #b004, Minneapolis, MN 55413 | 2016-02-04 |
1861819989 | Traditionally Healthy | Chiropractor | 1211 Jackson St Ne, Suite 121, Minneapolis, MN 55413 | 2014-03-26 |
1588000871 | Aztec's Transportation and Home-care LLC | Non-emergency Medical Transport (VAN) | 843 Summer St Ne #2, Minneapolis, MN 55413 | 2013-05-14 |
1114285418 | Best Care Transportation | Non-emergency Medical Transport (VAN) | 2021 E Hennepin Ave Ste. 187, Minneapolis, MN 55413 | 2012-04-25 |
Find all providers in zip 55413 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639786312 | Peter Wahl | Nurse Practitioner | 4652 Lyndale Ave S, Minneapolis, MN 55419-5302 | 2020-09-28 |
1356951552 | Madelyn Jayne Argo | Nurse Practitioner | 1720 Victory Memorial Dr, Minneapolis, MN 55412-1239 | 2020-08-03 |
1356963789 | Kersten Larayne Bailey | Nurse Practitioner | 2958 Lincoln St Ne, Minneapolis, MN 55418-2236 | 2020-05-07 |
1649804519 | Ifrah Abdi Abdullahi | Nurse Practitioner | 620 E Franklin Ave Apt 413, Minneapolis, MN 55404-3293 | 2020-02-28 |
1821645342 | Kelsey Middlestaedt | Nurse Practitioner | 2525 Chicago Ave Ste 32-t5, Minneapolis, MN 55404-4518 | 2019-08-20 |
1720546773 | Erika Lindsey Kuis | Nurse Practitioner | 918 W Lake St, Minneapolis, MN 55408-2857 | 2019-03-08 |
1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
1588176028 | Sylvie Adjoko Gaba | Nurse Practitioner | 100 South Fifth Street 19th Floor, Minneapolis, MN 55402-5199 | 2017-10-24 |
1336664804 | Heidi M Morrisey | Nurse Practitioner | 800 East 28th St W, Minneapolis, MN 55407 | 2017-08-07 |
1275073181 | Yellow Coriander, Psc | Nurse Practitioner | 60 South 6th Street, Suite 2800, Minneapolis, MN 55402 | 2017-02-27 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55413 |
Please comment or provide details below to improve the information on MR. JOHN OTWORI NYAENYA.
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.