DIANE NIELSEN, PA C
Pediatrics
Active
Individual
NPI: 1205940962
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pediatrics | 208000000X | Yes | PA178 (ID) |
Frequently Asked Questions
NPI 1205940962 is the National Provider Identifier for DIANE NIELSEN, PA C, a Pediatrics provider located in Idaho Falls, ID. This NPI was enumerated on August 19, 2006.
DIANE NIELSEN, PA C practices at 3430 WASHINGTON PARKWAY, Idaho Falls, ID 83404.
Quick Facts
- NPI
- 1205940962
- Type
- Individual
- Enumerated
- Aug 19, 2006
- Last Updated
- Sep 10, 2009
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