Individual
JUSTIN NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
46 E 300 N, MOAB, UT 84532-2441
(435) 259-6131
Mailing address
PO BOX 867, PRICE, UT 84501-0867
(435) 637-7200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
12312699-3102
UT
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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