Individual
KATELYN ANN NIEBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1415 EISENHOWER BLVD, JOHNSTOWN, PA 15904-3217
(814) 616-2014
Mailing address
216 HOGUE RD, EBENSBURG, PA 15931-6322
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP030032
PA
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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