Individual
JASON MATTHEW NIELANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(317) 842-7435
Mailing address
9887 E BROOKSIDE AVE, GALVESTON, IN 46932-8658
(574) 699-0954
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27052295A
IN
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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