Most Relevant Information
Provider Data
| NPI Number: | 1003485194 |
| Provider Name: | MARISSA CLAIRE NIEMEYER MSN, AGPCNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP2300X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704330088NSA210G9 |
Most Important Dates
| Enumeration Date: | 06/22/2021 |
| Last Updated: | 09/27/2021 |
Provider Practice Location
10223 US HIGHWAY 281 N STE 201
SAN ANTONIO
TX
782164664
Practice Location Phone/Fax
| Phone: | 2103388800 |
| Fax: | 2103388825 |
Provider Mailing Location
10223 US HIGHWAY 281 N STE 201
SAN ANTONIO
TX
782164664
Provider Mailing Phone/Fax
| Phone: | 2103388800 |
| Fax: | 2103388825 |