Individual
RILEY NIEBUHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 234-1515
Mailing address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-8100
(715) 236-8104
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
294802
WI
363L00000X
Nurse Practitioner
Primary
11893
WI
Other
Enumeration date
01/10/2022
Last updated
11/01/2022
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