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Individual

MS. ELIZABETH L. NIEMEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(605) 697-6939
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-4222

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
283
SD
363LF0000X
Family Nurse Practitioner
Primary
R18828
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6824882
SD
Enumeration date
05/24/2006
Last updated
01/06/2022
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