Individual
CYNTHIA LEE NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6000 LINDHURST AVE, STE 601A, MARYSVILLE, CA 95901-6129
(530) 741-6245
(530) 743-5044
Mailing address
140 HURLBURT LN, GRIDLEY, CA 95948-9584
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA11205
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA11205
LICENSE
CA
Enumeration date
07/13/2006
Last updated
07/08/2007
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