Provider Demographics
NPI:1730467234
Name:NYARANGI, ANNE OPANDE (MSW STUDENT INTERN)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:OPANDE
Last Name:NYARANGI
Suffix:
Gender:F
Credentials:MSW STUDENT INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1594 N ALLEN AVE APT 23
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91104-1604
Mailing Address - Country:US
Mailing Address - Phone:626-602-6059
Mailing Address - Fax:
Practice Address - Street 1:9864 BALDWIN PLACE
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731
Practice Address - Country:US
Practice Address - Phone:162-633-1311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-01
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor