Provider Demographics
NPI:1285473603
Name:NYAKO, ELIZABETH DARLEY (PMHNP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:DARLEY
Last Name:NYAKO
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2180 ARLINGTON WALK LN
Mailing Address - Street 2:
Mailing Address - City:GRAYSON
Mailing Address - State:GA
Mailing Address - Zip Code:30017-7888
Mailing Address - Country:US
Mailing Address - Phone:770-256-5323
Mailing Address - Fax:
Practice Address - Street 1:3915 HARRISON RD STE 300
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-5896
Practice Address - Country:US
Practice Address - Phone:470-406-3459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-23
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA215208363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health