Individual provider · Type 1 NPI

Alan L. Nieboer, GNP

Gerontology Nurse Practitioner · Fremont, MI

NPI number 1174631485 Active

Practice location

204 W Main St
Fremont, MI 49412-1181

Call (231) 924-1800 Map

Fax (231) 924-1810

Mailing address

212 S Sullivan Ave
Fremont, MI 49412-1548

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X4704120574 (MI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1174631485

Alan L. Nieboer, GNP's National Provider Identifier is 1174631485, issued on Aug 27, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Fremont, MI. The record was last updated on Dec 11, 2009.