Nieman, Suzanne Kent
Nieman, Suzanne Kent is an individual health care provider with primary practice located at 66 Club Rd Ste 160 , Eugene OR 97401-2439. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Nieman, Suzanne Kent can be contacted via phone (541) 345-1722.Contact Information
Primary practice address
66 Club Rd Ste 160
Eugene OR 97401-2439
Phone: (541) 345-1722
Fax: (541) 485-7049
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 202004996NP-PP | Oregon |
Nursing Service Providers / Registered Nurse | 163W00000X | 202004904RN | Oregon |
Profile Details
NPI number | 1891907580 |
---|---|
LBN Legal business name | Nieman, Suzanne Kent |
Credentials | PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2007 |
Last updated | Sep 28th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891907580 | NPPES |
Oregon | MEDICAID | 500798419 | |
Oregon | Other | 14101489 |
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