Individual provider · Type 1 NPI

Katelyn Nieman, NP

Gerontology Nurse Practitioner · Burr Ridge, IL

NPI number 1083319115 Active

Practice location

1000 Burr Ridge Pkwy Ste 201
Burr Ridge, IL 60527-0864

Fax (855) 342-0199

Mailing address

PO Box 40412
Belfast, ME 04915-1255

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X13642-33 (WI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1083319115

Katelyn Nieman, NP's National Provider Identifier is 1083319115, issued on Mar 30, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Burr Ridge, IL. The record was last updated on Sep 8, 2025.