Individual
LLOYD ISSAC NEILSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
6822 EAST 1000 SOUTH, FT. DUCHESNE, UT 84026
(435) 725-6895
Mailing address
6822 EAST 1000 SOUTH, FT. DUCHESNE, UT 84026
(435) 725-6895
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
193886-3102
UT
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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