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Individual

LAUREN M NIEMEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
6701 AIRPORT BLVD STE D330, MOBILE, AL 36608-6758
(251) 607-9797
Mailing address
6701 AIRPORT BLVD STE D330, MOBILE, AL 36608-6758
(251) 607-9797

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-118489
AL
363LF0000X
Family Nurse Practitioner
1-118489
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102I504425
MEDICARE AL PTAN CMS/CAHABA
AL
Enumeration date
03/28/2012
Last updated
07/14/2016
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