Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAN MARIE NICODEMUS
ActiveJAN MARIE NICODEMUS is a Home Health Aide healthcare provider located in ZIMMERMAN, Minnesota. NPI 1659886448 is currently active in the NPPES registry. Verify at CMS.
Home Health Aide · ZIMMERMAN, MN
Registration Details
- NPI Number
- 1659886448
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 4, 2017 (8.6918311623351 yrs)
- Last Updated
- Jul 21, 2024
- License
-
10704477 (MN)
Practice Information
- Address
-
12950 FREMONT AVE STE 102ZIMMERMAN, MN, 553984629Browse MN providers · Browse ZIP 55398
- Phone
- 7632940714
- Fax
- 7633747161
- Primary Specialty
-
Home Health Aide
374U00000X
Other Home Health Aide Providers in ZIMMERMAN, MN
| Name | Credential | NPI |
|---|---|---|
| JAMES J KING JR. | — | 1548062870 |
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.