MEDICARE: MS. NNEKA GOINS CNA

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	376K00000X	Nurse's Aide	269326	LA

General Provider Information

NPI Number	:	1962925172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NNEKA GOINS CNA

Provider Business Mailing Address
First Line	:	7429 GREEN GATE DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70811-1242
Country	:	US
Telephone Number	:	225-960-0133
Fax Number	:

Provider Business Practice Location Address
First Line	:	7429 GREEN GATE DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70811-1242
Country	:	US
Telephone Number	:	225-960-0133
Fax Number	:

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

Provider Enumeration Date	:	07/19/2017
Last Update Date	:	07/21/2022

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