Provider Demographics
NPI:1376533968
Name:NIMESKERN, RAYMOND MICHAEL (CRNFA)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:MICHAEL
Last Name:NIMESKERN
Suffix:
Gender:M
Credentials:CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 E BUSINESS WAY
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-2365
Mailing Address - Country:US
Mailing Address - Phone:513-354-3700
Mailing Address - Fax:513-354-3707
Practice Address - Street 1:501 E BUSINESS WAY
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-2365
Practice Address - Country:US
Practice Address - Phone:513-354-3700
Practice Address - Fax:513-354-3707
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-199721364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical