National Provider Identifier
Tracy A Niemi, LPN
Tracy A Niemi, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Bergen, NY and a listed phone number of (585) 734-5562.
Profile Overview
- NPI
- 1659778942
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 02, 2014
- Last Updated
- April 21, 2015
Practice Location
- 7862 Clinton Street Road
- Lot 5
- Bergen, NY 14416
Phone: (585) 734-5562
Mailing Address
- 7862 Clinton Street Road
- Lot 5
- Bergen, NY 14416-9584
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1659778942
- Entity Type
- Individual
- Last Name
- Niemi
- First Name
- Tracy
- Middle Name
- A
- Credential
- LPN
- Mailing Street Address
- 7862 Clinton Street Road
- Mailing Address Line 2
- Lot 5
- Mailing City
- Bergen
- Mailing State
- NY
- Mailing ZIP Code
- 14416-9584
- Mailing Country
- US
- Mailing Phone
- (585) 734-5562
- Practice Street Address
- 7862 Clinton Street Road
- Practice Address Line 2
- Lot 5
- Practice City
- Bergen
- Practice State
- NY
- Practice ZIP Code
- 14416
- Practice Country
- US
- Practice Phone
- (585) 734-5562
- Enumeration Date
- December 02, 2014
- Last Updated
- April 21, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)