Provider Demographics
NPI:1790679132
Name:NUISMER, CLAIRE JOY
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:JOY
Last Name:NUISMER
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 1:2623 N 191ST AVE
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-2933
Mailing Address - Country:US
Mailing Address - Phone:402-657-4604
Mailing Address - Fax:
Practice Address - Street 1:19405 SPRAGUE CIR
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-4458
Practice Address - Country:US
Practice Address - Phone:402-689-2626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant