Basic Information
| Provider Information | |||||||||
| NPI: | 1285666883 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NIEWOEHNER | ||||||||
| FirstName: | CHERYL | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1894 | ||||||||
| Address2: | |||||||||
| City: | MASON CITY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 504021894 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6414943900 | ||||||||
| FaxNumber: | 6414943900 | ||||||||
| Practice Location | |||||||||
| Address1: | 308 N MAPLE AVE | ||||||||
| Address2: | |||||||||
| City: | NEW HAMPTON | ||||||||
| State: | IA | ||||||||
| PostalCode: | 506591142 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6413942151 | ||||||||
| FaxNumber: | 6413941999 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/06/2006 | ||||||||
| LastUpdateDate: | 10/12/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/12/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | A058278 | IA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.