Provider Demographics
NPI:1104787977
Name:ASY, NADEIGE KIPANGA
Entity type:Individual
Prefix:
First Name:NADEIGE
Middle Name:KIPANGA
Last Name:ASY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 30TH ST NW APT 10
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52405-1465
Mailing Address - Country:US
Mailing Address - Phone:917-495-1082
Mailing Address - Fax:
Practice Address - Street 1:1605 30TH ST NW APT 10
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52405-1465
Practice Address - Country:US
Practice Address - Phone:917-495-1082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-20
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide