Individual
REBECCA ELYSE NIEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1606 PRAIRIE CENTER PKWY STE 370, BRIGHTON, CO 80601-4005
(720) 401-2139
(303) 469-4439
Mailing address
2760 29TH ST STE 2B, BOULDER, CO 80301-1221
(303) 444-6400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0005522
CO
363AM0700X
Medical Physician Assistant
Primary
PA.0005522
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
452188398
COMMERCIAL INSURANCE PLANS
CO
01
—
PA.0005522
STATE LICENSE
CO
Enumeration date
09/12/2018
Last updated
10/09/2025
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