DR. Nathaniel Richard Nielsen, OD

NPI #1972178523 in Peoria, Arizona

Provider Information

NPI Number: 1972178523
Entity Type: Individual
Name: DR. Nathaniel Richard Nielsen, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 26, 2021
Last Updated: Aug 5, 2021

Practice Location

Address: 7080 W SANNA ST
City: Peoria
State: Arizona
ZIP Code: 85345-8898
Phone: (208) 406-6573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Optometrist	152W00000X	Primary

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