Provider Demographics
NPI:1679303051
Name:GUEH, NYEDEH DIAMOND
Entity type:Individual
Prefix:
First Name:NYEDEH
Middle Name:DIAMOND
Last Name:GUEH
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 1:2036 49TH ST S APT 16
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-7795
Mailing Address - Country:US
Mailing Address - Phone:615-506-9071
Mailing Address - Fax:
Practice Address - Street 1:2036 49TH ST S APT 16
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-7795
Practice Address - Country:US
Practice Address - Phone:615-506-9071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant