Individual
KRISTINE MARIE NIEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP
Contact information
Practice address
100 MICHIGAN ST NE, MC215, GRAND RAPIDS, MI 49503-2560
(616) 486-9155
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704128491
MI
Other
Enumeration date
08/17/2006
Last updated
06/07/2013
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