Individual provider · Type 1 NPI

Logan Nielson, PA-C

Medical Physician Assistant · Burley, ID

NPI number 1184199648 Active

About NPI 1184199648

Logan Nielson, PA-C's National Provider Identifier is 1184199648, issued on Oct 10, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Burley, ID. The record was last updated on Oct 10, 2018.