Individual
CAROL FAYE NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
220 ESSIE DAVISON DR, CLARINDA, IA 51632-2915
(712) 542-2176
(712) 542-8311
Mailing address
PO BOX 217, CLARINDA, IA 51632-0217
(712) 542-2176
(712) 542-8311
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A049358
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1469445
—
IA
01
—
I17235
MEDICARE PTAN
IA
Enumeration date
06/05/2006
Last updated
08/31/2015
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