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Individual

JOYCE ANN NIEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHS, PA-C, MT (ASCP)

Contact information

Practice address
4800 E BELLVIEW DR, AURORA, CO 80015
(303) 680-5000
Mailing address
900 STARLING LN, ELIZABETH, CO 80107-8540

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1591
CO
363A00000X
Physician Assistant
Primary
PA1591
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1591
COLORADO BME PA LICENSE
05
16384717
CO
Enumeration date
07/15/2006
Last updated
02/16/2011
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