Individual
JAMES ROBERT NIELCEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
312 9TH ST SW, WAVERLY, IA 50677-2929
(319) 352-4958
(319) 483-4168
Mailing address
921 FLETCHER AVE, WATERLOO, IA 50701-3043
(319) 234-1488
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14579
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14579
PHARMACIST LICENSE
IA
Enumeration date
02/09/2007
Last updated
07/08/2007
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