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NPI Code Detail

MEDICARE: NDUMU THOMAS RN

MEDICARE: NDUMU THOMAS 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
1163WH0200XHome Health Registered Nurse62889NE
2372500000XChore Provider

General Provider Information

NPI Number : 1275422735
Entity Type Code : Individual
Provider Name (Legal Business Name) : NDUMU THOMAS RN
Provider Business Mailing Address
First Line : 12522 PHEASANT RUN CIR
Second Line :
City : PAPILLION
State : NE
Zip : 68046-4005
Country : US
Telephone Number : 402-871-7869
Fax Number :
Provider Business Practice Location Address
First Line : 806 HOGAN DR
Second Line :
City : PAPILLION
State : NE
Zip : 68046-2121
Country : US
Telephone Number : 28-717-8694
Fax Number : 531-484-2788
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2025
Last Update Date : 06/30/2025

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