Kathleen Rose Nielsen, PA

NPI #1336196757 in Meridian, Idaho

Provider Information

NPI Number: 1336196757
Entity Type: Individual
Name: Kathleen Rose Nielsen, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 30, 2006
Last Updated: Mar 7, 2023

Practice Location

Address: 3041 E COPPER POINT DR
City: Meridian
State: Idaho
ZIP Code: 83642-1740
Phone: (208) 514-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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