Provider Demographics
NPI:1861893299
Name:NZIMI, RIGOBERT SR
Entity type:Individual
Prefix:
First Name:RIGOBERT
Middle Name:
Last Name:NZIMI
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6816 FREMONT PL N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55430-1590
Mailing Address - Country:US
Mailing Address - Phone:763-273-3926
Mailing Address - Fax:
Practice Address - Street 1:6816 FREMONT PL N
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55430-1590
Practice Address - Country:US
Practice Address - Phone:763-273-3926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-04
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care