Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Mark Nienhuis, PA

Individual provider Physician Assistant · NPI 1417987868

Mr. Mark Nienhuis, PA is a Physician Assistant in Cuba, New Mexico. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

#10 Pueblo Pintado School
Cuba, NM 87013
Phone: (505) 786-5291
Fax: (505) 786-6440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50001806 (OH)

Record details

NPI number1417987868
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESJuly 8, 2007