Niemann, Katherine A
Niemann, Katherine A is an individual health care provider with primary practice located at 1500 Curve Crest Blvd W , Stillwater MN 55082-6040. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Niemann, Katherine A can be contacted via phone (651) 439-1234.Contact Information
Primary practice address
1500 Curve Crest Blvd W
Stillwater MN 55082-6040
Phone: (651) 439-1234
Fax: (651) 351-0827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 350385-21 | Minnesota |
Profile Details
| NPI number | 1073559340 |
|---|---|
| LBN Legal business name | Niemann, Katherine A |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Oct 17th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073559340 | NPPES |
| Minnesota | MEDICAID | 412738200 | |
| Minnesota | MEDICAID | 36025400 |
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