Ethan Mark Nielsen, PA
NPI #1154179844 in Provo, Utah
Provider Information
- NPI Number
- 1154179844
- Entity Type
- Individual
- Name
- Ethan Mark Nielsen, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- May 8, 2024
- Last Updated
- Nov 21, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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