Individual
ANDREW JAMES NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1550 S PIONEER WAY, MOSES LAKE, WA 98837-4613
(509) 793-9780
(509) 764-3246
Mailing address
1616 S PIONEER WAY, MOSES LAKE, WA 98837-2487
(509) 793-9715
(509) 764-3244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60962805
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2141515
—
WA
Enumeration date
05/03/2019
Last updated
05/04/2026
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