Provider Demographics
NPI:1043654866
Name:NIENHUSER, ANGELYN (PLMHP)
Entity Type:Individual
Prefix:
First Name:ANGELYN
Middle Name:
Last Name:NIENHUSER
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:MRS
Other - First Name:ANGELYN
Other - Middle Name:
Other - Last Name:NIENHUSER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PLMHP
Mailing Address - Street 1:1905 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:NE
Mailing Address - Zip Code:69162-1835
Mailing Address - Country:US
Mailing Address - Phone:308-249-5520
Mailing Address - Fax:308-254-4949
Practice Address - Street 1:1500 10TH AVE
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NE
Practice Address - Zip Code:69162-2275
Practice Address - Country:US
Practice Address - Phone:308-249-5520
Practice Address - Fax:308-254-4949
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9862101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health