Individual
HEATHER RAE NIEMYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(480) 468-4240
Mailing address
20220 E DOMINGO RD, QUEEN CREEK, AZ 85142-9783
(480) 468-4240
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN130284
AZ
363LN0000X
Neonatal Nurse Practitioner
334382
AZ
Other
Enumeration date
10/29/2025
Last updated
02/02/2026
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