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ANETTA NINAN
NPI 1033885454
Student in an Organized Health Care Education/Training Program in Tyler, TX

Active since August 17, 2021
3900 UNIVERSITY BLVD, TYLER, TX 75799(903) 565-5777 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anetta Ninan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANETTA NINAN (NPI 1033885454) is an individual student in an organized health care education/training program in Tyler, Texas and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1033885454
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANETTA NINAN
Location Address3900 UNIVERSITY BLVDTyler, TX 75799-6600
Mailing Address3900 University BlvdTyler, TX 75799-6600
Phone(903) 565-5777
Sole ProprietorYes
Enumeration DateAugust 17, 2021
NPPES CertifiedAugust 17, 2021
✔ NPI 1033885454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3900 UNIVERSITY BLVD, Tyler, TX 75799
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GAYLE PEGLER VARNELL PHD, RN, PNP
Nurse Practitioner (Pediatrics)
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (903) 566-7035
DR. DENNIS ROYNALD COMBS PH.D.
Psychologist (Clinical)
3900 UNIVERSITY BLVD, DEPARTMENT OF PSYCHOLOGY, UT TYLER
TYLER, TX 75799
Smith County (903) 565-5880
STEPHEN CAGE M.ED, ATC, LAT
Specialist/Technologist (Athletic Trainer)
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (830) 305-0317
ALEXA FOSTER MS, ATC, LAT, CSCS
Specialist/Technologist (Athletic Trainer)
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (903) 565-5742
IMANI ISSA
Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (817) 707-4208
LANNA WAITHE
Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (903) 565-5777
JENNIFER LIU
Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (903) 565-5777
BAILEIGH WEATHERFORD
Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (903) 565-5777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anetta Ninan's NPI number?

The NPI number for Anetta Ninan is 1033885454. It was assigned to this individual provider in the NPPES registry on August 17, 2021.

Where is Anetta Ninan located?

Anetta Ninan practices at 3900 University Blvd, Tyler, TX 75799. The listed phone number is (903) 565-5777.

What is Anetta Ninan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Anetta Ninan was last updated on August 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.