Wayne S Nielson, PA

NPI #1114253234 in Kanab, Utah

Provider Information

NPI Number: 1114253234
Entity Type: Individual
Name: Wayne S Nielson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 23, 2009
Last Updated: Oct 23, 2009

Practice Location

Address: 355 N MAIN ST
City: Kanab
State: Utah
ZIP Code: 84741-3260
Phone: (435) 644-4179

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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