Individual provider · Type 1 NPI
Barry G. Nieman, CPNP
Pediatric Nurse Practitioner · Loma Linda, CA
NPI number
1205957412
Active
Practice location
11234 Anderson St
Loma Linda, CA 92354-2804
Fax (909) 558-7873
Mailing address
25010 Prospect Ave
Loma Linda, CA 92354-2900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN464104 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1205957412
Barry G. Nieman, CPNP's National Provider Identifier is 1205957412, issued on Apr 3, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Loma Linda, CA. The record was last updated on Jul 8, 2007.