Individual provider · Type 1 NPI

Scott Nelson

Medical Physician Assistant · Puyallup, WA

NPI number 1003218611 Active

Practice location

11102 Sunrise Blvd E, Ste 103
Puyallup, WA 98374-8846

Call (253) 848-8797 Map

Mailing address

15217 105th Avenue Ct E
Puyallup, WA 98374-9748

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700XPA60597789 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1003218611

Scott Nelson's National Provider Identifier is 1003218611, issued on Sep 25, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Puyallup, WA. The record was last updated on Sep 10, 2015.