1699575480 NPI number — MS. NADINILZA FERNANDES CHIMINSKI NURSE

Table of content: MS. NADINILZA FERNANDES CHIMINSKI NURSE (NPI 1699575480)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699575480 NPI number — MS. NADINILZA FERNANDES CHIMINSKI NURSE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHIMINSKI
Provider First Name:
NADINILZA
Provider Middle Name:
FERNANDES
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
NURSE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CHIMINSKI
Provider Other First Name:
NADINILZA
Provider Other Middle Name:
FERNANDES
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
LUX SPA
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1699575480
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/19/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
98 MAPLE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TEWKSBURY
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01876-1510
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-939-8526
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10 TOWER OFFICE PARK STE 220
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WOBURN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01801-2120
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-939-8526
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/19/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  06726324 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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