SearchIdahoMedical Physician Assistant

Logan Nielson, PA-C

NPI 1184199648 · on the registry since 2018 · sole proprietor

Practice

Address
382 N Overland Ave
Burley, ID 83318
Phone
(208) 678-6996
Organisation at this address
Urgent Care Of Idaho, Llc
River View Urgent Care & Medical Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 2392 Addison Ave E, Twin Falls, ID
  • 133 W Avenue A, Jerome, ID

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-10-10

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