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Search › Idaho › 363AM0700X

Logan Nielson, PA-C

NPI 1184199648 · on the registry since 2018 · sole proprietor

Practice

Address
382 N Overland Ave
Burley, ID 83318
Phone
(208) 678-6996
Organisation at this address
Urgent Care Of Idaho, Llc
River View Urgent Care & Medical Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 2392 Addison Ave E, Twin Falls, ID
  • 133 W Avenue A, Jerome, ID

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-10-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho