Individual
DR. NATHAN DEAN NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MSC10-5550 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131
(505) 272-4751
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D78283
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD.203214
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD2019-0746
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1803375
—
LA
05
—
931106800
—
MD
01
—
S062-0559
CAREFIRST BC/BS
MD
Enumeration date
01/08/2008
Last updated
09/26/2024
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