Provider Demographics
NPI:1134949514
Name:NAHIKIAN, GINGER W (RN)
Entity type:Individual
Prefix:
First Name:GINGER
Middle Name:W
Last Name:NAHIKIAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3825 SPRING LN
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-9657
Mailing Address - Country:US
Mailing Address - Phone:989-737-2355
Mailing Address - Fax:
Practice Address - Street 1:3405 E MIDLAND RD
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-2825
Practice Address - Country:US
Practice Address - Phone:989-737-2355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAL090409334376G00000X
MIAL180404676376G00000X
MIAL18040678376G00000X
MIAM090408828376G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator