Individual provider · Type 1 NPI

Cameron Lewis Nelson

Medical Physician Assistant · Pocatello, ID

NPI number 1932488053 Active

Practice location

1553 E Center St
Pocatello, ID 83201-4135

Mailing address

98 Poplar St
Blackfoot, ID 83221-1799

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA-1556 (ID)
Medical Physician Assistant Primary 363AM0700XPA-1556 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1932488053

Cameron Lewis Nelson's National Provider Identifier is 1932488053, issued on Aug 7, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pocatello, ID. The record was last updated on Jun 16, 2025.