Mara Christine Nieman, NP-C
Nurse Practitioner, Family in Royal Oak, MI. Individual provider (NPI-1).
NPI number1982247276
StatusActive
Last updated in NPPESOct 20, 2019
Details
- NPI
- 1982247276
- Entity type
- Individual (NPI-1)
- Name
- Mara Christine Nieman
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2019
- Last updated
- Oct 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F09191341 | MI | Yes |
Practice location
3601 W 13 Mile RdRoyal Oak, MI 48073-6712
Phone 248-898-5000
Mailing address
937 Marvell PlWaterford, MI 48327-3120
Phone 586-214-1762
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