Individual
PAMELA PRINCE NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 573-1895
Mailing address
127 S 500 E STE 600, SALT LAKE CITY, UT 84102-1971
(801) 587-6336
(801) 715-8228
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
8806132-1206
UT
Other
Enumeration date
10/02/2013
Last updated
11/23/2021
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