Nelson, Michael Lee

Nelson, Michael Lee is an individual health care provider with primary practice located at 1888 W 800 N , Pleasant Grove UT 84062-4097. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Nelson, Michael Lee can be contacted via phone (801) 610-7321.

Contact Information

Primary practice address
1888 W 800 N Pleasant Grove UT 84062-4097
Phone: (801) 610-7321
Fax: (801) 610-7306
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-758 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 002266 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0809 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4884511-1206 Utah

Profile Details

NPI number 1326298787
LBN Legal business name Nelson, Michael Lee
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2008
Last updated Sep 2nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326298787 NPPES
South Dakota MEDICAID 1326298787
South Dakota MEDICAID 1326298787
South Dakota MEDICAID 1326298787

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