Individual provider · Type 1 NPI

Marie Ellen Nielsen, MS, PA-C

Physician Assistant · Redlands, CA

NPI number 1396016093 Active

Practice location

1600 E Citrus Ave Ste A
Redlands, CA 92374-4802

Call (909) 389-1304 Map

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA18155 (CA)

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 1396016093

Marie Ellen Nielsen, MS, PA-C's National Provider Identifier is 1396016093, issued on Jan 26, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Redlands, CA. The record was last updated on Jan 4, 2026.