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NPI Code Detail

MEDICARE: AMY MARIE NIEBERLEIN NP

MEDICARE: AMY MARIE NIEBERLEIN NP
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
1363L00000XNurse Practitioner14996-033WI
2363LA2100XAcute Care Nurse PractitionerAPN.0991073NPCO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982078549
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY MARIE NIEBERLEIN NP
Provider Business Mailing Address
First Line : 501 E HAMPDEN AVE
Second Line : ATTN: STROKE CENTER
City : ENGLEWOOD
State : CO
Zip : 80111
Country : US
Telephone Number : 303-788-5990
Fax Number : 303-788-5043
Provider Business Practice Location Address
First Line : 501 E HAMPDEN AVE
Second Line : ATTN: STROKE CENTER
City : ENGLEWOOD
State : CO
Zip : 80113-2702
Country : US
Telephone Number : 303-788-5990
Fax Number : 303-788-5043
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2015
Last Update Date : 12/15/2025

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