Courtnee Dawn Neilsen PA-C

NPI 1568764017 - Physician Assistant - 363A00000X

NPI Details
NPI 1568764017
Gender Female
Enumeration Date 12/02/2010
Last Updated 04/02/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
50 N MEDICAL DR
SALT LAKE CITY UT, 84132-0001, US
Phone (801) 618-5473
Fax
Business Location
50 N MEDICAL DR
SALT LAKE CITY UT, 84132-0001, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Utah
License Number 7824029-1206
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According to our database, Courtnee Dawn Neilsen PA-C NPI is 1568764017, taxonomy code is 363A00000X and license number is 7824029-1206, license state is located at Utah. Courtnee Dawn Neilsen PA-C physically located at 50 N Medical Dr, Salt Lake City UT, 84132-0001. NPI Number Courtnee Dawn Neilsen PA-C has the Individual type.

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1568764017 NPI number is provided on an as is basis without warranty of any kind. 1568764017 is maintained by the National Plan & Provider Enumeration System. The contents of Courtnee Dawn Neilsen PA-C are for informational purposes only.