Provider Demographics
NPI:1992396238
Name:GHIMIREY, MEENA
Entity Type:Individual
Prefix:
First Name:MEENA
Middle Name:
Last Name:GHIMIREY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8596 ROBBINS LOOP DR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-8582
Mailing Address - Country:US
Mailing Address - Phone:804-665-6749
Mailing Address - Fax:
Practice Address - Street 1:8596 ROBBINS LOOP DR
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-8582
Practice Address - Country:US
Practice Address - Phone:804-665-6749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH174856164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty