Individual
GRANT NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 373-5031
Mailing address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 373-5031
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
172V00000X
Community Health Worker
CG 60595100
WA
Other
Enumeration date
03/28/2017
Last updated
12/30/2024
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