Provider Demographics
NPI:1194519413
Name:GUMANEH, NYIMA
Entity type:Individual
Prefix:
First Name:NYIMA
Middle Name:
Last Name:GUMANEH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4851 KINGSHILL DR APT 105
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-6234
Mailing Address - Country:US
Mailing Address - Phone:614-212-0890
Mailing Address - Fax:
Practice Address - Street 1:4851 KINGSHILL DR APT 105
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-6234
Practice Address - Country:US
Practice Address - Phone:614-212-0890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide