Individual
NICOLE V CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MANOR RD, SIDNEY, NE 69162-1142
(720) 569-8135
Mailing address
925 10TH AVE, SIDNEY, NE 69162-1609
(308) 249-6728
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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