Search › Utah › 363A00000X
Ethan Nielsen, PA
NPI 1154179844 · on the registry since 2024
Practice
- Address
- 395 W Bulldog Blvd
Provo, UT 84604 - Phone
- (801) 357-7081
- Organisation at this address
- Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 37
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-21
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 Utah