MR. ALAN L NIEBOER GNP
NPI 1174631485
Nurse Practitioner - Gerontology in Fremont, MI

Active since August 27, 2006
204 W MAIN ST, FREMONT, MI 49412(231) 924-1800(231) 924-1810 Get Directions Write a Review

NPPES record last updated: December 11, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Alan L Nieboer Gnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ALAN L NIEBOER GNP (NPI 1174631485) is an individual gerontology provider in Fremont, Michigan, licensed in Michigan (4704120574) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1174631485
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameMR. ALAN L NIEBOERCredential: GNP
Location Address204 W MAIN STFremont, MI 49412-1181
Mailing Address212 S Sullivan AveFremont, MI 49412-1548 · (231) 924-3300 · Fax (231) 924-1320
Fax(231) 924-1810
Sole ProprietorNo
Enumeration DateAugust 27, 2006
Last NPPES UpdateDecember 11, 2009
NPI 1174631485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MI · 4704120574
204 W MAIN ST, Fremont, MI 49412

Other Identifiers 1

Medicaid4383367MI

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
204 W MAIN ST
FREMONT, MI 49412
Nurse Practitioner (Family)
204 W MAIN ST
FREMONT, MI 49412
Physician Assistant
204 W MAIN ST
FREMONT, MI 49412
Home Health
204 W MAIN ST
FREMONT, MI 49412
Nurse Practitioner (Family)
204 W MAIN ST
FREMONT, MI 49412
Nurse Practitioner (Family)
204 W MAIN ST
FREMONT, MI 49412
Physician Assistant
204 W MAIN ST
FREMONT, MI 49412
Pediatrics
204 W MAIN ST
FREMONT, MI 49412

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alan Nieboer's NPI number?

The NPI number for Alan Nieboer is 1174631485. It was assigned to this individual provider in the NPPES registry on August 27, 2006.

Where is Alan Nieboer located?

Alan Nieboer practices at 204 W Main St, Fremont, MI 49412. The listed phone number is (231) 924-1800.

What is Alan Nieboer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Alan Nieboer was last updated on December 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.