Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK NIENHUIS, P.A.
ActiveMR. MARK NIENHUIS, P.A. is a Physician Assistant healthcare provider located in CUBA, New Mexico. NPI 1417987868 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CUBA, NM
Registration Details
- NPI Number
- 1417987868
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2006 (20.122369153613 yrs)
- Last Updated
- Jul 8, 2007
- License
-
50001806 (OH)
Practice Information
- Address
-
#10 PUEBLO PINTADO SCHOOLCUBA, NM, 87013Browse NM providers · Browse ZIP 87013
- Phone
- 5057865291
- Fax
- 5057866440
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.