Individual provider · Type 1 NPI

Kathleen Rose Nielsen, PA

Physician Assistant · Meridian, ID

NPI number 1336196757 Active

Practice location

2640 S Eagle Rd
Meridian, ID 83642-6704

Call (208) 884-0835 Map

Fax (208) 884-4794

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA411 (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…

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About NPI 1336196757

Kathleen Rose Nielsen, PA's National Provider Identifier is 1336196757, issued on May 30, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Meridian, ID. The record was last updated on Jun 2, 2026.