Provider Demographics
NPI:1841962339
Name:NIMONS, ARIANA DENISE
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:DENISE
Last Name:NIMONS
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 1:123 EAST 156 STREET APT207
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44110-2154
Mailing Address - Country:US
Mailing Address - Phone:216-804-3057
Mailing Address - Fax:
Practice Address - Street 1:123 EAST 156 STREET APT 207
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44110-2154
Practice Address - Country:US
Practice Address - Phone:216-804-3057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-02
Last Update Date:2021-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty