Marley Rae Nielson, PHYSICIAN ASSISTANT

NPI #1790334464 in Pocatello, Idaho

Provider Information

NPI Number: 1790334464
Entity Type: Individual
Name: Marley Rae Nielson, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Sep 5, 2019
Last Updated: Sep 5, 2019

Practice Location

Address: 333 N 18TH AVE STE B3
City: Pocatello
State: Idaho
ZIP Code: 83201-3358
Phone: (208) 232-2146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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