Individual
KATHRYN E NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3910 WASHINGTON PARKWAY, IDAHO FALLS, ID 83404-7596
(208) 528-0253
(208) 523-5682
Mailing address
3910 WASHINGTON PARKWAY, IDAHO FALLS, ID 83404-7596
(208) 528-0253
(208) 523-5682
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
53441
ID
Other
Enumeration date
02/22/2017
Last updated
10/07/2021
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