Provider Demographics
NPI:1699575480
Name:CHIMINSKI, NADINILZA FERNANDES (NURSE)
Entity type:Individual
Prefix:MS
First Name:NADINILZA
Middle Name:FERNANDES
Last Name:CHIMINSKI
Suffix:
Gender:
Credentials:NURSE
Other - Prefix:MISS
Other - First Name:NADINILZA
Other - Middle Name:FERNANDES
Other - Last Name:CHIMINSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LUX SPA
Mailing Address - Street 1:98 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-1510
Mailing Address - Country:US
Mailing Address - Phone:617-939-8526
Mailing Address - Fax:
Practice Address - Street 1:10 TOWER OFFICE PARK STE 220
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-2120
Practice Address - Country:US
Practice Address - Phone:617-939-8526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH06726324163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty