Provider Demographics
NPI:1871453910
Name:MUNYEHIRWE, ELIAB
Entity type:Individual
Prefix:
First Name:ELIAB
Middle Name:
Last Name:MUNYEHIRWE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1053 NOBLE ISLE ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002-9264
Mailing Address - Country:US
Mailing Address - Phone:702-336-3977
Mailing Address - Fax:
Practice Address - Street 1:1053 NOBLE ISLE ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89002-9264
Practice Address - Country:US
Practice Address - Phone:702-336-3977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-12
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV894553363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health