KATE NIESEN, PA-C
Physician Assistant
Active
Individual
NPI: 1063036093
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 085009237 (IL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
Frequently Asked Questions
NPI 1063036093 is the National Provider Identifier for KATE NIESEN, PA-C, a Physician Assistant provider located in Lake Forest, IL. This NPI was enumerated on June 5, 2020.
KATE NIESEN, PA-C practices at 1000 N WESTMORELAND RD, Lake Forest, IL 60045.
Quick Facts
- NPI
- 1063036093
- Type
- Individual
- Enumerated
- Jun 5, 2020
- Last Updated
- Jan 5, 2023
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