Individual
DENNIS MICHAEL NIEKRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
23845 HOLMAN HWY STE 315B, MONTEREY, CA 93940-5900
(831) 625-4975
(831) 625-4952
Mailing address
PO BOX HH, MONTEREY, CA 93942
(831) 625-4975
(831) 625-4952
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95005341
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95005341
NP LICENSE
CA
Enumeration date
08/19/2011
Last updated
05/01/2024
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