Individual provider · Type 1 NPI

David E. Nielson, PA-C

Physician Assistant · Boise, ID

NPI number 1124393939 Active

Practice location

190 E Bannock St Fl 10
Boise, ID 83712-6241

Fax (208) 381-2555

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 1825 S Kimball Ave, Caldwell, ID 83605-4828 · (208) 327-5600
  • 6140 W Curtisian Ave Ste 400, Boise, ID 83704-8907 · (208) 327-5600

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA-1183 (ID)
Physician Assistant Primary 363A00000XPA-1183 (ID)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

10 other providers at this address

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About NPI 1124393939

David E. Nielson, PA-C's National Provider Identifier is 1124393939, issued on Mar 12, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Dec 10, 2025.