Individual
CALLIE NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 W 2230 N STE 225, PROVO, UT 84604-6709
(801) 477-7189
Mailing address
333 W 2230 N STE 225, PROVO, UT 84604-6709
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
UT
Other
Enumeration date
05/20/2024
Last updated
10/10/2025
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