Healthcare Provider Details

I. General information

NPI: 1417609462
Provider Name (Legal Business Name): CLAIRE NIEMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARL NIEMAN

II. Dates (important events)

Enumeration Date: 01/20/2022
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 VICTORIA ST
PITTSBURGH PA
15213-2543
US

IV. Provider business mailing address

3500 VICTORIA ST
PITTSBURGH PA
15213-2543
US

V. Phone/Fax

Practice location:
  • Phone: 888-747-0794
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN782626
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: