Individual
JEANETTE L NIENABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
417 FIRST AVENUE, SEWARD, AK 99664
(907) 224-2273
(907) 224-8501
Mailing address
PO BOX 2895, SEWARD, AK 99664-2895
(907) 224-2273
(907) 224-8501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11495
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1634651
—
AK
Enumeration date
11/02/2013
Last updated
02/21/2020
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