SearchIdahoPediatrics Physician

Diane Nielsen, PA C

NPI 1205940962 · on the registry since 2006

Practice

Address
3430 Washington Parkway
Idaho Falls, ID 83404
Phone
(208) 523-3060
Fax
(208) 523-0028
Organisation at this address
Medical Center For Children & Adolescents, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
Pediatrics Physician
208000000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-09-10

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