Provider Demographics
NPI:1053115410
Name:KASER, NICOLE
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:KASER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11500 LINCOLN ST SE
Mailing Address - Street 2:
Mailing Address - City:ROBERTSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44670
Mailing Address - Country:US
Mailing Address - Phone:330-205-8256
Mailing Address - Fax:
Practice Address - Street 1:1200 VALLEY ST APT B74
Practice Address - Street 2:
Practice Address - City:MINERVA
Practice Address - State:OH
Practice Address - Zip Code:44657-9798
Practice Address - Country:US
Practice Address - Phone:234-804-9618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health