Individual
DIANNE MARIE NIECKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
190 E MICHIGAN AVE, STE A100, BATTLE CREEK, MI 49014-4005
(269) 965-3539
(269) 966-1489
Mailing address
190 E MICHIGAN AVE, STE A100, BATTLE CREEK, MI 49014-4005
(269) 965-3539
(269) 966-1489
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704109999
MI
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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