Provider Demographics
NPI:1346632239
Name:TIENTCHEU, SYLVAIN NITCHEU (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:SYLVAIN
Middle Name:NITCHEU
Last Name:TIENTCHEU
Suffix:
Gender:M
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 AERONCA DR
Mailing Address - Street 2:
Mailing Address - City:FATE
Mailing Address - State:TX
Mailing Address - Zip Code:75087-0467
Mailing Address - Country:US
Mailing Address - Phone:469-338-5056
Mailing Address - Fax:469-338-5074
Practice Address - Street 1:212 AERONCA DR
Practice Address - Street 2:
Practice Address - City:FATE
Practice Address - State:TX
Practice Address - Zip Code:75087-0467
Practice Address - Country:US
Practice Address - Phone:469-333-5056
Practice Address - Fax:469-338-5074
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127081363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily