Individual
MRS. CARISSA NIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
204 LOWE AVE SE STE 2, HUNTSVILLE, AL 35801-4242
(256) 517-8861
(256) 517-8872
Mailing address
204 LOWE AVE SE STE 2, HUNTSVILLE, AL 35801-4242
(256) 517-8861
(256) 517-8872
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-110336
AL
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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