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Laura Kangha Nyindem

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as LAURA NYINDEM.

Based on the most recent information from CMS, provider Laura Kangha Nyindem is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1588219778
Provider Type
Individual
Full Name
Nyindem, Laura Kangha
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
8/5/2019
Last Updated
9/9/2024

Contact Information

Practice Location

926 Main St, Nashville, TN 37206-3614

(615) 436-9060

(615) 235-9725

Mailing Location

5966 Spout Spring Ct, Haymarket, VA 20169-3307

(703) 772-7040

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 0024178273 Virginia
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 2019045593 Virginia

Laura Kangha Nyindem

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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May, Stella Elizabeth

Caraballo, Damaris

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Nevels, Catherine R

Aguirre, Kaitlin

Johnson, Devonna Anne

Capers, Vanessa

Fernandez, Rachel Louise

Genco, Amanda