Search › Minnesota › 374U00000X
Jan Nicodemus
NPI 1659886448 · on the registry since 2017
Practice
- Address
- 12950 Fremont Ave Ste 102
Zimmerman, MN 55398 - Phone
- (763) 294-0714
- Fax
- (763) 374-7161
- Organisation at this address
- Compassionate Home Care Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 155 Trail Dr, Ranchester, WY
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota