Individual
ANDREW WARREN NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1000
(253) 968-1110
Mailing address
8519 154TH ST E, PUYALLUP, WA 98375-8481
(253) 254-9315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
12307
GA
363AM0700X
Medical Physician Assistant
Primary
12307
GA
Other
Enumeration date
03/14/2012
Last updated
08/06/2025
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