Provider Demographics
NPI:1851283873
Name:NIMMONS, VICTOR II
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:
Last Name:NIMMONS
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 EASTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-1524
Mailing Address - Country:US
Mailing Address - Phone:216-376-0098
Mailing Address - Fax:
Practice Address - Street 1:2020 TAYLOR RD
Practice Address - Street 2:
Practice Address - City:EAST CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-2963
Practice Address - Country:US
Practice Address - Phone:440-488-0039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker