Provider Demographics
NPI:1306112107
Name:NYEMBO, NELYA
Entity type:Individual
Prefix:MS
First Name:NELYA
Middle Name:
Last Name:NYEMBO
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 1:2020 GARRETT RD
Mailing Address - Street 2:APT 307
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-1068
Mailing Address - Country:US
Mailing Address - Phone:610-803-7924
Mailing Address - Fax:
Practice Address - Street 1:2020 GARRETT RD
Practice Address - Street 2:APT 307
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-1068
Practice Address - Country:US
Practice Address - Phone:610-803-7924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-26
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health