Brandi L Nielsen PA

NPI 1013967447 - Physician Assistant - 363A00000X

NPI Details
NPI 1013967447
Gender Female
Enumeration Date 05/10/2006
Last Updated 02/18/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
8303 DODGE ST
SUITE 225
OMAHA NE, 68114-4108, US
Phone (402) 354-5860
Fax (402) 354-2350
Business Location
8303 DODGE ST
SUITE 225
OMAHA NE, 68114-4108, US
Phone (402) 354-5860
Fax (402) 354-2350
Toxanomy
Taxonomy Code 363A00000X
License State Connecticut
License Number 002763
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According to our database, Brandi L Nielsen PA NPI is 1013967447, taxonomy code is 363A00000X and license number is 002763, license state is located at Connecticut. Brandi L Nielsen PA physically located at 8303 Dodge St, Omaha NE, 68114-4108. NPI Number Brandi L Nielsen PA has the Individual type.

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1013967447 NPI number is provided on an as is basis without warranty of any kind. 1013967447 is maintained by the National Plan & Provider Enumeration System. The contents of Brandi L Nielsen PA are for informational purposes only.