Provider Demographics
NPI:1881327575
Name:NIELSEN, KIARA
Entity type:Individual
Prefix:MS
First Name:KIARA
Middle Name:
Last Name:NIELSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 MAIN ST S
Mailing Address - Street 2:
Mailing Address - City:GRANVILLE
Mailing Address - State:ND
Mailing Address - Zip Code:58741-4019
Mailing Address - Country:US
Mailing Address - Phone:701-871-2581
Mailing Address - Fax:
Practice Address - Street 1:905 MAIN STREET SOUTH
Practice Address - Street 2:
Practice Address - City:GRANVILLE
Practice Address - State:ND
Practice Address - Zip Code:58741
Practice Address - Country:US
Practice Address - Phone:701-871-2581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-08
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker