Nielsen, Kathleen Rose
Nielsen, Kathleen Rose is an individual health care provider with primary practice located at 3041 E Copper Point Dr , Meridian ID 83642-1740. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Nielsen, Kathleen Rose can be contacted via phone (208) 514-4400.Contact Information
Primary practice address
3041 E Copper Point Dr
Meridian ID 83642-1740
Phone: (208) 514-4400
Fax: (208) 514-4404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA411 | Idaho |
Profile Details
| NPI number | 1336196757 |
|---|---|
| LBN Legal business name | Nielsen, Kathleen Rose |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336196757 | NPPES |
| Idaho | Other | PA411 | IDAHO MEDICAL LICENSE |
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