Individual
RACHAEL NIEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5997
(701) 234-7194
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2119
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R32530
ND
Other
Enumeration date
07/02/2015
Last updated
10/26/2015
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