Provider Demographics
NPI:1740906635
Name:NIYIGIRIMPUHWE, JEAN D'ARC SR
Entity type:Individual
Prefix:
First Name:JEAN D'ARC
Middle Name:
Last Name:NIYIGIRIMPUHWE
Suffix:SR
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 1:4 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-3632
Mailing Address - Country:US
Mailing Address - Phone:207-409-9804
Mailing Address - Fax:
Practice Address - Street 1:4 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-3632
Practice Address - Country:US
Practice Address - Phone:207-409-9804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME2074099804OtherMAINECARE