Provider Demographics
NPI:1538927066
Name:THIEMENS, ONJELAI KEVION YVETTE
Entity type:Individual
Prefix:
First Name:ONJELAI
Middle Name:KEVION YVETTE
Last Name:THIEMENS
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 1:5583 HIDDEN HARBOR TRL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30504-8186
Mailing Address - Country:US
Mailing Address - Phone:714-644-0399
Mailing Address - Fax:
Practice Address - Street 1:5583 HIDDEN HARBOR TRL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30504-8186
Practice Address - Country:US
Practice Address - Phone:714-644-0399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula