Provider Demographics
NPI:1144023391
Name:NGUOT, NYAMUOCH L II
Entity type:Individual
Prefix:
First Name:NYAMUOCH
Middle Name:L
Last Name:NGUOT
Suffix:II
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 1:2420 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51501-3672
Mailing Address - Country:US
Mailing Address - Phone:531-352-0867
Mailing Address - Fax:531-201-4505
Practice Address - Street 1:2420 2ND AVE
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51501-3672
Practice Address - Country:US
Practice Address - Phone:531-352-0867
Practice Address - Fax:531-201-4505
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health