Individual
HOLLYS J NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
750 N SYRINGA ST STE 100, POST FALLS, ID 83854-5275
(208) 262-2600
(208) 262-2700
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2498
(208) 262-7461
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
NP416A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245393131
—
ID
01
—
NP416A
LICENSE
ID
Enumeration date
12/19/2006
Last updated
07/16/2024
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