Individual
DR. RICHARD L NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01025422A
IN
208M00000X
Hospitalist Physician
01025422A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000655794
ANTHEM
IN
05
—
100360270
—
IN
01
—
P00836701
R.R. MEDICARE
IN
Enumeration date
01/08/2010
Last updated
10/20/2022
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