Individual
JUDITH D. NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
31833 GATEWAY CENTER BLVD S, FEDERAL WAY, WA 98003-5616
(253) 214-1920
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(253) 596-3380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00026847
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8115172
—
WA
Enumeration date
12/28/2006
Last updated
06/18/2021
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