Individual
SUSAN DIANE NIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
390 W 100 N, EPHRAIM, UT 84627-2131
(435) 283-4065
(435) 283-5387
Mailing address
255 W MAIN ST, MOUNT PLEASANT, UT 84647-1331
(435) 642-2416
(435) 462-9350
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
160441-3102
UT
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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