Individual provider · Type 1 NPI

Fidele Koumanimben, PN.151506-M-IV

Licensed Practical Nurse · Fairfield, OH

NPI number 1861804221 Active

Practice location

5254 Camelot Dr Apt D
Fairfield, OH 45014-4022

Call (513) 497-8095 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN.151506-M-IV (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1861804221

Fidele Koumanimben, PN.151506-M-IV's National Provider Identifier is 1861804221, issued on May 20, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fairfield, OH. The record was last updated on May 20, 2014.