Kelly R Niezurawski, NP is a
Nurse Practitioner based in Manitou Beach, Michigan. Kelly R Niezurawski is licensed to practice in Michigan (license number 4704187362) and her current practice location is
6500 N Hawkins Hwy, Manitou Beach, Michigan. She can be reached at her office (for appointments etc.) via phone at
(734) 572-5777.
NPI number for Kelly R Niezurawski is 1992339311 and her current mailing address is Po Box 175, Manitou Beach, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992339311.
Provider's Profile
Full Name | Kelly R Niezurawski |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 6500 N Hawkins Hwy, Manitou Beach, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992339311
- Provider Enumeration Date: 02/25/2020
- Last Update Date: 06/27/2023
Medical Identifiers
Medical identifiers for Kelly R Niezurawski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992339311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 4704187362 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly R Niezurawski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly R Niezurawski, NP Po Box 175, Manitou Beach, MI 49253-0175 Ph: (517) 403-3771 | Kelly R Niezurawski, NP 6500 N Hawkins Hwy, Manitou Beach, MI 49253-9736 Ph: (734) 572-5777 |
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