KELLY R NIEZURAWSKI NP
NPI 1992339311
Nurse Practitioner in Manitou Beach, MI

Q: What is Kelly Niezurawski's NPI number?

The NPI number for Kelly Niezurawski is 1992339311. It was assigned to this individual provider in the NPPES registry on February 25, 2020.

Q: What is Kelly Niezurawski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Niezurawski was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 25, 2020

6500 N HAWKINS HWY, MANITOU BEACH, MI 49253(734) 572-5777 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly R Niezurawski Np NPPES

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

KELLY R NIEZURAWSKI NP (NPI 1992339311) is an individual nurse practitioner in Manitou Beach, Michigan, licensed in Michigan (4704187362) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1992339311

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLY R NIEZURAWSKICredential: NP

Location Address6500 N HAWKINS HWYManitou Beach, MI 49253-9736

Mailing AddressPo Box 175Manitou Beach, MI 49253-0175 · (517) 403-3771

Phone(734) 572-5777

Sole ProprietorYes

Enumeration DateFebruary 25, 2020

Last NPPES UpdateJune 27, 2023

NPPES CertifiedJune 27, 2023

✔ NPI 1992339311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704187362

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

6500 N HAWKINS HWY, Manitou Beach, MI 49253

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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 Kelly Niezurawski's NPI number?

The NPI number for Kelly Niezurawski is 1992339311. It was assigned to this individual provider in the NPPES registry on February 25, 2020.

Where is Kelly Niezurawski located?

Kelly Niezurawski practices at 6500 N Hawkins Hwy, Manitou Beach, MI 49253. The listed phone number is (734) 572-5777.

What is Kelly Niezurawski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kelly Niezurawski was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.