Provider Demographics
NPI:1962194852
Name:KEMER, NICOLE MARIE
Entity type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:MARIE
Last Name:KEMER
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 1:108 VICTORIA CT
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-8731
Mailing Address - Country:US
Mailing Address - Phone:440-723-7264
Mailing Address - Fax:
Practice Address - Street 1:696 E SCHREYER PL
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-2229
Practice Address - Country:US
Practice Address - Phone:440-723-7264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide