MRS. MARY-THERESIA KEMNI WALLANG-NWAHA NP-C
NPI 1972786564
Nurse Practitioner - Gerontology in Loganville, GA

Q: What is Mary-theresia Wallang-nwaha's NPI number?

The NPI number for Mary-theresia Wallang-nwaha is 1972786564. It was assigned to this individual provider in the NPPES registry on December 6, 2007.

Q: What is Mary-theresia Wallang-nwaha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since December 06, 2007

1260 ROSE TERRACE CIR, LOGANVILLE, GA 30052(610) 333-2809 Get Directions Write a Review

NPPES record last updated: November 25, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mrs. Mary-theresia Kemni Wallang-nwaha Np-c NPPES

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

MRS. MARY-THERESIA KEMNI WALLANG-NWAHA NP-C (NPI 1972786564) is an individual gerontology provider in Loganville, Georgia, licensed in Georgia (RN219548) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1972786564

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMRS. MARY-THERESIA KEMNI WALLANG-NWAHACredential: NP-C

Location Address1260 ROSE TERRACE CIRLoganville, GA 30052-9047

Mailing Address1260 Rose Terrace CirLoganville, GA 30052-9047 · (610) 333-2809

Phone(610) 333-2809

Sole ProprietorYes

Enumeration DateDecember 6, 2007

Last NPPES UpdateNovember 25, 2019

✔ NPI 1972786564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in GA · RN219548

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN219548 (GA)

1260 ROSE TERRACE CIR, Loganville, GA 30052

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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 Mary-theresia Wallang-nwaha's NPI number?

The NPI number for Mary-theresia Wallang-nwaha is 1972786564. It was assigned to this individual provider in the NPPES registry on December 6, 2007.

Where is Mary-theresia Wallang-nwaha located?

Mary-theresia Wallang-nwaha practices at 1260 Rose Terrace Cir, Loganville, GA 30052. The listed phone number is (610) 333-2809.

What is Mary-theresia Wallang-nwaha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Mary-theresia Wallang-nwaha was last updated on November 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.