Wayne S Nielson, PA Valid NPI

Individual provider · Physician Assistant · Kanab, UT

NPI

1114253234

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

4893858-1206 (UT)

Sex

Male

Sole proprietor

No

Enumerated

2009-10-23

Last updated

2009-10-23