Provider Demographics
NPI:1225396419
Name:NIEMEIER, CARA SHAREE (MD)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:SHAREE
Last Name:NIEMEIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:122 15TH ST UNIT 2683
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-8087
Mailing Address - Country:US
Mailing Address - Phone:619-752-0765
Mailing Address - Fax:858-356-9611
Practice Address - Street 1:674 VIA DE LA VALLE STE 114
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-3405
Practice Address - Country:US
Practice Address - Phone:619-752-0765
Practice Address - Fax:858-356-9611
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD1731212084P0800X
CAA1468822084P0800X
CODR.00574232084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry