Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY R NIEZURAWSKI, NP
Active Sole ProprietorKELLY R NIEZURAWSKI, NP is a Nurse Practitioner healthcare provider located in MANITOU BEACH, Michigan. NPI 1992339311 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · MANITOU BEACH, MI
Registration Details
- NPI Number
- 1992339311
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 25, 2020 (6.4677571306616 yrs)
- Last Updated
- Jun 27, 2023
- License
-
4704187362 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6500 N HAWKINS HWYMANITOU BEACH, MI, 492539736Browse MI providers · Browse ZIP 49253
- Phone
- 7345725777
- Primary Specialty
-
Nurse Practitioner
363L00000X
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.