Individual
KAREN WYSE NIEDERMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
2202 E 2ND ST STE 377, SUPERIOR, WI 54880-3778
(715) 817-7990
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-3146
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
128436-2
MN
363LF0000X
Family Nurse Practitioner
128436-2
WI
363LF0000X
Family Nurse Practitioner
Primary
5989-33
WI
363LF0000X
Family Nurse Practitioner
AK940
AK
363LF0000X
Family Nurse Practitioner
CNP1825
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-12315
MEDICA
MN
01
—
111767
UCARE
MN
01
—
205D0NI
BCBS
MN
01
—
HP20370
HEALTH PARTNERS
MN
01
—
NA9021026055
PREFERRED ONE
MN
Enumeration date
03/27/2006
Last updated
10/30/2018
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