Doctor Name: | ANGELYN NIENHUSER |
NPI Number: | 1043654866 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PLMHP |
License Number: | 9862 |
Business Practice Address: | 1500 10th Ave Sidney, NE - 691622275 |
Business Phone Number: | 3082495520 |
Business Fax Number: | 3082544949 |
Mailing Address: | 1905 Maple St, SIDNEY |
State: | NE |
Postal Code: | 691621835 |
Phone Number: | 3082495520 |
Fax Number: | 3082544949 |
NPI Enumeration Date: | 04/23/2013 |
NPI Last Update Date: | 04/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 9862 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |