National Provider Identifier Database

MARTENIA MIMS, LPN BSHCM MSHS – NPI #1871259606
Licensed Practical Nurse

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.


Contact Information

MARTENIA MIMS, LPN BSHCM MSHS
619 BENHAM ST
HAMDEN, CT06514-2656
Phone: 475-655-4159
Fax:
Website:
Specialty Taxonomy Code
* Licensed Practical Nurse 164W00000X
Licensed Vocational Nurse 164X00000X

* Indicates primary specialty

NPI Profile & details for MARTENIA MIMS

NPI Number 1871259606
Credentials LPN BSHCM MSHS
Entity Individual
Enumeration date 11/16/2021
Last updated 11/16/2021 - About 5 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 204554
  • RI License #: LPN09927
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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