Individual
NICHOLAS NIEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
773 MAXOLA AVE, NEWARK, OH 43055-2845
(740) 334-7403
Mailing address
773 MAXOLA AVE, NEWARK, OH 43055-2845
(740) 334-7403
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN.396570
OH
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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