Individual provider · Type 1 NPI

Kelly R. Niezurawski, NP

Nurse Practitioner · Manitou Beach, MI

NPI number 1992339311 Active

Practice location

6500 N Hawkins Hwy
Manitou Beach, MI 49253-9736

Mailing address

PO Box 175
Manitou Beach, MI 49253-0175

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704187362 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

About NPI 1992339311

Kelly R. Niezurawski, NP's National Provider Identifier is 1992339311, issued on Feb 25, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Manitou Beach, MI. The record was last updated on Jun 27, 2023.