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Mr. Alan L Nieboer, GNP
Gerontology Nurse Practitioner in Fremont, Michigan
NPI 1174631485

Alan L Nieboer is a Gerontology Nurse Practitioner based in Fremont, MI and is specialized in Gerontology. Alan L Nieboer practices in Fremont, MI and has the professional credentials of GNP. The NPI Number for Alan L Nieboer is 1174631485 and holds a License No. 4704120574 (Michigan).

The current practice location address for Alan L Nieboer is 204 W Main St, Fremont, MI and can be reached out via phone at 231-924-1800 and via fax at 231-924-1810.

Location: 204 W Main St, Fremont, MI, 49412-1548
person
Provider Profile Details
NPI Number
1174631485
Provider Name
Alan L Nieboer
Credential
GNP
Provider Entity Type
Individual
Gender
Male
Address
204 W Main St, Fremont, MI, 49412-1548
Phone Number
231-924-1800
Fax Number
231-924-1810
Provider Enumeration Date
08/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4383367 05 MI
institution
Provider Business Practice Location Address Details
Address
204 W Main St
City
State
Zip
49412-1181
Phone Number
231-924-1800
Fax Number
231-924-1810
person
Provider Business Mailing Address Details
Address
204 W Main St
City
State
Zip
49412-1181
Phone Number
231-924-1800
Fax Number
231-924-1810
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
4704120574 (Michigan)
Definition
Definition to come...
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