Provider Demographics
NPI:1225405392
Name:NIEHUES, ALINE MARIE (CNP)
Entity Type:Individual
Prefix:
First Name:ALINE
Middle Name:MARIE
Last Name:NIEHUES
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:ALINE
Other - Middle Name:MARIE
Other - Last Name:LANGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8170 33RD AVE S # MS 21110Q
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:651-254-7980
Mailing Address - Fax:651-254-7990
Practice Address - Street 1:640 JACKSON ST
Practice Address - Street 2:MS 11502V
Practice Address - City:ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101
Practice Address - Country:US
Practice Address - Phone:651-254-7980
Practice Address - Fax:651-254-7980
Is Sole Proprietor?:No
Enumeration Date:2015-08-25
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCNP 4034363LF0000X
MN4034363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily