Provider Demographics
NPI:1699568477
Name:NEZERWE, ORNELLA NINA
Entity type:Individual
Prefix:
First Name:ORNELLA NINA
Middle Name:
Last Name:NEZERWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 STATE ST APT 5
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-5242
Mailing Address - Country:US
Mailing Address - Phone:207-286-6762
Mailing Address - Fax:
Practice Address - Street 1:24 STATE ST APT 5
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-5242
Practice Address - Country:US
Practice Address - Phone:207-286-6762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide