Individual
KATHLEEN NIEDERHELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
860 E BROAD ST, ELYRIA, OH 44035-6542
(440) 323-8515
Mailing address
PO BOX 35, SANDUSKY, OH 44871-0035
(513) 532-5187
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
142717
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200457680
—
IN
05
—
2100345
—
OH
Enumeration date
08/09/2005
Last updated
02/26/2014
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