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NPI Code Detail

MEDICARE: ANNELIESE NIEDERHAUSER

MEDICARE: ANNELIESE NIEDERHAUSER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse1649935CO
2163W00000XRegistered Nurse95279599CA
3163W00000XRegistered Nurse200495AK

General Provider Information

NPI Number : 1346196078
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNELIESE NIEDERHAUSER
Provider Business Mailing Address
First Line : 4000 OLD SEWARD HWY STE 300
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-6079
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4000 OLD SEWARD HWY STE 300
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-6079
Country : US
Telephone Number : 907-770-0862
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/05/2026

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Directions to “ ANNELIESE NIEDERHAUSER ” Practice Location

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