MEDICARE: NYUYFONI NORA KIDZE

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	374U00000X	Home Health Aide
2	376J00000X	Homemaker

General Provider Information

NPI Number	:	1720845472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NYUYFONI NORA KIDZE

Provider Business Mailing Address
First Line	:	4915 MAGELLAN AVE
Second Line	:
City	:	TROTWOOD
State	:	OH
Zip	:	45426-1483
Country	:	US
Telephone Number	:	424-409-6693
Fax Number	:

Provider Business Practice Location Address
First Line	:	4915 MAGELLAN AVE
Second Line	:
City	:	TROTWOOD
State	:	OH
Zip	:	45426-1483
Country	:	US
Telephone Number	:	424-409-6693
Fax Number	:

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

Provider Enumeration Date	:	02/29/2024
Last Update Date	:	02/29/2024

Similar Medicare Providers

1306207147 — MAP NURSING AND HEALTHCARE CONSULTANTS
Practice Location Address:

4927 MAGELLAN AVE
TROTWOOD, OH
45426-1483

Practice Phone: 937-829-0195
Practice Fax: 937-854-0121

1508472234 — INSPIRED BY LOVE HOME HEALTHCARE AGENCY LLC
Practice Location Address:

4941 MAGELLAN AVE
TROTWOOD, OH
45426-1483

Practice Phone: 937-715-1567
Practice Fax:

1881240026 — DEONNA POWELL
Practice Location Address:

4941 MAGELLAN AVE
DAYTON, OH
45426-1483

Practice Phone: 937-203-6933
Practice Fax:

1427682798 — INSPIRED BY LOVE TRANSPORTATION LLC
Practice Location Address:

4941 MAGELLAN AVE
DAYTON, OH
45426-1483

Practice Phone: 937-715-1567
Practice Fax:

1578494605 — DIAMOND LASHAE GOODALL
Practice Location Address:

23 SOLOMAN ST
TROTWOOD, OH
45426-3012

Practice Phone: 513-910-0242
Practice Fax:

1770456881 — EMMA KAYE FERGUS APRN
Practice Location Address:

3038 OLIVE RD
TROTWOOD, OH
45426-2640

Practice Phone: 937-208-7050
Practice Fax:

Directions to “ NYUYFONI NORA KIDZE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.