Individual
MRS. JUDITH DIANE NIEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
7830 149TH LN NW, RAMSEY, MN 55303-4342
(763) 422-9713
(763) 421-3098
Mailing address
12241 STALLMAN RD, BRAINERD, MN 56401-5257
(218) 829-9655
(218) 829-9655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 80435-8
MN
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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