| NPI | 1508270927 |
|---|---|
| Former Name | SHANNEN R NIEMEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2653) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 173601-4) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2024-09-19 |