Provider Demographics
NPI:1528855202
Name:NYAMWEYA, FREDRICK NYANDOMA
Entity type:Individual
Prefix:
First Name:FREDRICK
Middle Name:NYANDOMA
Last Name:NYAMWEYA
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 1:2730 N 1ST ST APT 5
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-3384
Mailing Address - Country:US
Mailing Address - Phone:531-289-8984
Mailing Address - Fax:
Practice Address - Street 1:2730 N 1ST ST APT 5
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-3384
Practice Address - Country:US
Practice Address - Phone:531-289-8984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist