Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHIL JAMES NYDEREK SR.
Active Sole ProprietorPHIL JAMES NYDEREK SR. is a Hypnotherapist healthcare provider located in GREENUP, Kentucky. NPI 1194984443 is currently active in the NPPES registry. Verify at CMS.
Hypnotherapist · GREENUP, KY
Registration Details
- NPI Number
- 1194984443
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2008 (18.214595924407 yrs)
- Last Updated
- May 12, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
103 ASHMOORE DRIVEGREENUP, KY, 41144Browse KY providers · Browse ZIP 41144
- Phone
- 7408216973
- Fax
- 6064731389
- Primary Specialty
-
Hypnotherapist
171WH0202X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.