Individual
MARY NIEMCZURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3803 N ELM ST, GREENSBORO, NC 27455-2593
(336) 999-9999
Mailing address
9900 BERN ROAD EAST, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5013114
NC
Other
Enumeration date
03/13/2020
Last updated
08/06/2020
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