MRS. MARY-THERESIA KEMNI WALLANG-NWAHA NP-C NPI 1972786564

NPI Information

  • NPI: 1972786564
  • Provider Name: MRS. MARY-THERESIA KEMNI WALLANG-NWAHA, NP-C
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 1260 ROSE TERRACE CIR
    LOGANVILLE, GA
    ZIP 30052
  • Phone: (610) 333-2809

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NPI Details

MRS. Mary-theresia Kemni Wallang-nwaha, NP-C is a gerontology nurse practitioner in Loganville, GA. MRS. Mary-theresia Kemni Wallang-nwaha, NP-C NPI is 1972786564. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1260 ROSE TERRACE CIR
LOGANVILLE, GA
ZIP 30052-047
Phone: (610) 333-2809

The enumeration date for this NPI number is 12/6/2007 and was last updated on 11/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthRN219548GEORGIANo
2363LG0600XNurse PractitionerGerontologyRN219548GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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