Individual
NATHAN DANIEL NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1808 W MAIN ST, RUSSELLVILLE, AR 72801-2724
(479) 968-2841
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 634-6000
(435) 634-6033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8046571-1204
UT
207Q00000X
Family Medicine Physician
DO2419
NV
207Q00000X
Family Medicine Physician
E7997
AR
208M00000X
Hospitalist Physician
E7997
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199132003
—
AR
Enumeration date
04/16/2010
Last updated
03/15/2024
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