Diane Rae Nielsen in Idaho Falls - Pediatrics
Diane Rae Nielsen - NPI 1205940962
Diane Rae Nielsen is a Pediatrics in Idaho Falls, Idaho. Diane Rae Nielsen practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Diane Rae Nielsen is 1205940962. The last update date is 2009-09-10.
Diane Rae Nielsen's current location address is 3430 Washington Parkway, Idaho Falls, Idaho. You can contact this provider via phone number 2085233060 and fax number 2085230028. The mailing address for Diane Rae Nielsen is 3430 Washington Parkway, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Rae Nielsen |
|---|---|
| Address | 3430 Washington Parkway, Idaho Falls, Idaho |
| Phone Number | 2085233060 |
| Fax Number | 2085230028 |
| Sole Proprietor | N |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1205940962 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2009-09-10 |
Provider Mailing Address Detail
| Address | 3430 Washington Parkway |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 83404 |
| Phone Number | 2085233060 |
| Fax Number | 2085230028 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | PA178 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PAKY2 | ID | BLUE CROSS | |
| 4378700 | ID | -- | |
| 10016257 | ID | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Diane Rae Nielsen by the Centers for Medicare & Medicaid Services?
The Diane Rae Nielsen has been issued the NPI (National Provider Identifier) 1205940962 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Diane Rae Nielsen's physical address?
The Diane Rae Nielsen is physically located at 3430 Washington Parkway, in the city of Idaho Falls, ID, with the postal code 83404.
What is Diane Rae Nielsen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Diane Rae Nielsen's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
When did Diane Rae Nielsen receive its 1205940962 assignment?
The Diane Rae Nielsen was assigned its 1205940962 on 2006-08-19, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Diane Rae Nielsen last refreshed?
The information related to the Diane Rae Nielsen, including its address, specialty, and other relevant details, was last updated on 2009-09-10.
NPI Number: 1275535502
Address: 1986 Enterprise Ave Apt B, Great Lakes, IL