Individual
MS. MARY LOU NIEBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7180 HIGHLAND DR, PITTSBURGH, PA 15206-1206
(412) 365-5323
Mailing address
404 W 4TH ST, PITTSBURGH, PA 15238-2759
(412) 365-5323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
277669L
PA
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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