Provider Demographics
NPI:1861208597
Name:NYARANDI, ANNAH NDINDA
Entity type:Individual
Prefix:
First Name:ANNAH
Middle Name:NDINDA
Last Name:NYARANDI
Suffix:
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 1:2506 S 317TH ST APT 203
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5027
Mailing Address - Country:US
Mailing Address - Phone:978-457-3408
Mailing Address - Fax:
Practice Address - Street 1:2506 S 317TH ST APT 203
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5027
Practice Address - Country:US
Practice Address - Phone:978-457-3408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-07
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61263928163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse