Provider Demographics
NPI:1124867528
Name:RUHAMYA, ANGELIQUE NYAWERA (RN)
Entity type:Individual
Prefix:
First Name:ANGELIQUE
Middle Name:NYAWERA
Last Name:RUHAMYA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17006 PITKENNEDY PATH
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2186
Mailing Address - Country:US
Mailing Address - Phone:832-353-0077
Mailing Address - Fax:
Practice Address - Street 1:17006 PITKENNEDY PATH
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2186
Practice Address - Country:US
Practice Address - Phone:832-353-0077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX895011163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse