Individual
KATHERINE A NIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
(651) 351-0827
Mailing address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
(651) 439-1547
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
350385-21
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36025400
—
WI
05
—
412738200
—
MN
Enumeration date
06/22/2006
Last updated
10/17/2012
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