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Jan Marie Nicodemus
Home Health Aide in Zimmerman, Minnesota
NPI 1659886448

Jan Marie Nicodemus is a Home Health Aide based in Zimmerman, MN. Jan Marie Nicodemus practices in Zimmerman, MN. The NPI Number for Jan Marie Nicodemus is 1659886448 and holds a License No. 10704477 (Minnesota).

The current practice location address for Jan Marie Nicodemus is 12950 Fremont Ave Ste 102, Zimmerman, MN and can be reached out via phone at 763-294-0714 and via fax at 763-374-7161.

Location: 12950 Fremont Ave Ste 102, Zimmerman, MN, 55398-4629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659886448
Provider Name
Jan Marie Nicodemus
Credential
Provider Entity Type
Individual
Gender
Female
Address
12950 Fremont Ave Ste 102, Zimmerman, MN, 55398-4629
Phone Number
763-294-0714
Fax Number
763-374-7161
Provider Enumeration Date
12/04/2017
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1083146344 01 WY HOME HEALTH AGENCY
1083146344 01 MN PDN
1083146344 01 MN HOME HEALTH AGENCY
1083146344 01 MN SKILLED NURSING
institution
Provider Business Practice Location Address Details
Address
12950 Fremont Ave Ste 102
City
Zimmerman
State
Minnesota
Zip
55398-4629
Phone Number
763-294-0714
Fax Number
763-374-7161
person
Provider Business Mailing Address Details
Address
12950 Fremont Ave Ste 102
City
Zimmerman
State
Minnesota
Zip
55398-4629
Phone Number
763-294-0714
Fax Number
763-374-7161
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
10704477 (Minnesota)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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