Provider Demographics
NPI:1699970913
Name:ONYINANYA, SANDRA A (PNP)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:A
Last Name:ONYINANYA
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1935 MOTOR ST
Mailing Address - Street 2:REACH/FOSTER CARE (ARCH CLINIC)
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-7701
Mailing Address - Country:US
Mailing Address - Phone:214-456-7271
Mailing Address - Fax:214-456-6410
Practice Address - Street 1:1935 MOTOR ST
Practice Address - Street 2:REACH/FOSTER CARE (ARCH CLINIC)
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7701
Practice Address - Country:US
Practice Address - Phone:214-456-7271
Practice Address - Fax:214-456-6410
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX687831363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics