| Zachary Charles Niese, RN, CNP | |
|
2040 Road P, Pandora, OH 45877-9733 | |
| (419) 615-2983 | |
| (833) 629-0555 |
| Full Name | Zachary Charles Niese |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 2040 Road P, Pandora, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063978690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.024287 (Ohio) | Primary |
| Entity Name | Lima Memorial Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457474900 PECOS PAC ID: 1254232184 Enrollment ID: O20040115000131 |
| Entity Name | Hometown Urgent Care Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790030385 PECOS PAC ID: 8123270840 Enrollment ID: O20211014001382 |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary Charles Niese, RN, CNP 16855 Road 5, Pandora, OH 45877-9755 Ph: (419) 615-2983 | Zachary Charles Niese, RN, CNP 2040 Road P, Pandora, OH 45877-9733 Ph: (419) 615-2983 |
Mrs. Nicole Martin, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 Hilty Dr, Pandora, OH 45877 Phone: 419-384-3251 | |
Jill Horner, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 Hilty Dr, Pandora, OH 45877 Phone: 419-384-3251 |