Individual
THAO T NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3280 E LANARK DR, MERIDIAN, ID 83642-5982
(208) 895-8670
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
016558
NY
363AM0700X
Medical Physician Assistant
OA003740
PA
363AM0700X
Medical Physician Assistant
Primary
PA-1385
ID
363AM0700X
Medical Physician Assistant
PA60650168
WA
Other
Enumeration date
12/21/2011
Last updated
07/15/2021
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