Provider Demographics
NPI:1851280226
Name:LOVELESS, NIDANUR
Entity type:Individual
Prefix:
First Name:NIDANUR
Middle Name:
Last Name:LOVELESS
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5851 HOLMBERG RD APT 1816
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-4525
Mailing Address - Country:US
Mailing Address - Phone:239-699-6424
Mailing Address - Fax:
Practice Address - Street 1:5851 HOLMBERG RD APT 1816
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33067-4525
Practice Address - Country:US
Practice Address - Phone:239-699-6424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician