Provider Demographics
NPI:1366198301
Name:NYIKA, REGINAH
Entity type:Individual
Prefix:
First Name:REGINAH
Middle Name:
Last Name:NYIKA
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 1:2525 PRESTON RD APT 226
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3500
Mailing Address - Country:US
Mailing Address - Phone:469-888-9854
Mailing Address - Fax:
Practice Address - Street 1:2525 PRESTON RD APT 226
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3500
Practice Address - Country:US
Practice Address - Phone:469-888-9854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX021198374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide