IndividualActive
Alan Nieboer, GNP
NPI 1174631485 · Gerontology Nurse Practitioner · Fremont, MI
Provider details
- NPI number
- 1174631485
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- GNP
- Sex
- Male
- Sole proprietor
- No
- License
- 4704120574 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
204 W Main St
Fremont, MI 49412-1181
Phone: (231) 924-1800
Fax: (231) 924-1810
Street-level locationGet directions
Mailing address
212 S Sullivan Ave
Fremont, MI 49412-1548
Registry dates
- Enumerated
- 2006-08-27
- Last updated
- 2009-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.