Individual
DANIELLE NIESZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 MULLER ST, NEW FAIRFIELD, CT 06812-4525
(203) 241-5740
Mailing address
3 MULLER ST, NEW FAIRFIELD, CT 06812-4525
(203) 241-5740
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
032631
CT
164W00000X
Licensed Practical Nurse
Primary
288116
NY
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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