Individual
CYNTHIA DIANN NIEHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 3RD AVE SE, PERHAM, MN 56573-1739
(218) 298-1957
Mailing address
320 3RD AVE SE, PERHAM, MN 56573
(218) 298-1957
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
355008
MN
376J00000X
Homemaker
Primary
355008
MN
376K00000X
Nurse's Aide
355008
MN
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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