Individual
WENDELL TRUMAN NILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 E 100 S STE 14, SAINT GEORGE, UT 84790-3005
(435) 634-0055
(435) 674-7994
Mailing address
1240 E 100 S STE 14, SAINT GEORGE, UT 84790-3005
(435) 634-0055
(435) 674-7994
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
167758-1205
UT
363LP0200X
Pediatric Nurse Practitioner
204952-4405
UT
Other
Enumeration date
05/30/2006
Last updated
02/16/2021
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