| Doctor Name: | MS. EVELYN KINYUY NGWA |
| NPI Number: | 1467785154 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | 26NO12420700 |
| Business Practice Address: | 16 Roosevelt Drive Laurel Springs, NJ - 080212731 |
| Business Phone Number: | 8562326058 |
| Business Fax Number: | 8562328260 |
| Mailing Address: | Po Box 1897, LAUREL SPRINGS |
| State: | NJ |
| Postal Code: | 080218897 |
| Phone Number: | 8562326058 |
| Fax Number: | 8562328260 |
| NPI Enumeration Date: | 09/11/2009 |
| NPI Last Update Date: | 09/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 26NO12420700 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |