MEDICARE: GINGER W NAHIKIAN RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376G00000X	Nursing Home Administrator	AL090409334	MI
2	376G00000X	Nursing Home Administrator	AL180404676	MI
3	376G00000X	Nursing Home Administrator	AL18040678	MI
4	376G00000X	Nursing Home Administrator	AM090408828	MI

General Provider Information

NPI Number	:	1134949514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINGER W NAHIKIAN RN

Provider Business Mailing Address
First Line	:	3825 SPRING LN
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48603-9657
Country	:	US
Telephone Number	:	989-737-2355
Fax Number	:

Provider Business Practice Location Address
First Line	:	3405 E MIDLAND RD
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2825
Country	:	US
Telephone Number	:	989-737-2355
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2024
Last Update Date	:	10/11/2024

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