Search › Idaho › 363A00000X
David Nielson, PA-C
NPI 1124393939 · on the registry since 2012
Practice
- Address
- 190 E Bannock St Fl 10
Boise, ID 83712 - Phone
- (208) 381-5500
- Fax
- (208) 381-2555
- Organisation at this address
- St. Lukes
Picu Associates, Llc
St. Luke'S Children'S
St. Luke'S Health System
Boise Pathology Group P.A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 695
Additional practice sites
- 6140 W Curtisian Ave Ste 400, Boise, ID
- 1825 S Kimball Ave, Caldwell, ID
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AS0400X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho