Individual
NICHOLAS NIEMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
37000 N GANTZEL RD, QUEEN CREEK, AZ 85140
(602) 476-8962
Mailing address
645 E MISSOURI AVE STE 205, PHOENIX, AZ 85012-1334
(602) 476-8962
(954) 618-4766
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN111478
AZ
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP8087
AZ
Other
Enumeration date
05/26/2013
Last updated
04/24/2019
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