Provider Demographics
NPI:1699447870
Name:NIEMEIER, BILLI (FNP)
Entity type:Individual
Prefix:
First Name:BILLI
Middle Name:
Last Name:NIEMEIER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:LAKE PARK
Mailing Address - State:IA
Mailing Address - Zip Code:51347-7866
Mailing Address - Country:US
Mailing Address - Phone:712-432-8129
Mailing Address - Fax:855-800-9222
Practice Address - Street 1:222 MARKET ST
Practice Address - Street 2:
Practice Address - City:LAKE PARK
Practice Address - State:IA
Practice Address - Zip Code:51347-7866
Practice Address - Country:US
Practice Address - Phone:712-432-8129
Practice Address - Fax:855-800-9222
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAF10210124363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner