Kathleen Rose Nielsen in Meridian - Physician Assistant
Kathleen Rose Nielsen - NPI 1336196757
Kathleen Rose Nielsen is a Physician Assistant in Meridian, Idaho. Kathleen Rose Nielsen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kathleen Rose Nielsen is 1336196757. The last update date is 2023-03-07.
Kathleen Rose Nielsen's current location address is 3041 E Copper Point Dr, Meridian, Idaho. You can contact this provider via phone number 2085144400 and fax number 2085144404. The mailing address for Kathleen Rose Nielsen is 3041 E Copper Point Dr, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Rose Nielsen |
|---|---|
| Address | 3041 E Copper Point Dr, Meridian, Idaho |
| Phone Number | 2085144400 |
| Fax Number | 2085144404 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1336196757 |
|---|---|
| Provider Enumeration Date | 2006-05-30 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 3041 E Copper Point Dr |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836421740 |
| Phone Number | 2085144400 |
| Fax Number | 2085144404 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA411 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA411 | ID | IDAHO MEDICAL LICENSE |
Post Comment/ Review Below
What is the Kathleen Rose Nielsen's unique identification number?
The Kathleen Rose Nielsen has been assigned the NPI (National Provider Identifier) Number 1336196757 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Kathleen Rose Nielsen's physical address?
The Kathleen Rose Nielsen is physically located at 3041 E Copper Point Dr, in the city of Meridian, ID, with the postal code 836421740.
What is the Kathleen Rose Nielsen's specialty and taxonomy code?
The Kathleen Rose Nielsen's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date was the 1336196757 assigned to Kathleen Rose Nielsen?
The Kathleen Rose Nielsen was issued its 1336196757 on 2006-05-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kathleen Rose Nielsen most recently updated?
The details pertaining to the Kathleen Rose Nielsen, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.
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